Ihc Wic Program at Kokomo

NPI #1710191788 in Kokomo, Indiana

Provider Information

NPI Number: 1710191788
Entity Type: Organization
Organization Name: Ihc Wic Program at Kokomo
Primary Specialty: Public Health or Welfare
Enumeration Date: May 9, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 3118 S LAFOUNTAIN ST
City: Kokomo
State: Indiana
ZIP Code: 46902-3710
Phone: (765) 864-4160

Authorized Official

Name: LYNN CLOTHIER
Title: CEO
Phone: (317) 576-1335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Public Health or Welfare	251K00000X	Primary

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