| Family Medicine Of Vincennes Pc | |
|
328 N 2nd St Ste 205 Vincennes IN 47591 | |
| (812) 895-8000 | |
| (812) 895-8006 |
| Full Name | Family Medicine Of Vincennes Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 328 N 2nd St, Vincennes, Indiana |
| Authorized Official Name and Position | Michael J Kelly (PRESIDENT) |
| Authorized Official Contact | 8128958000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Medicine Of Vincennes Pc 328 N 2nd St Ste 205 Vincennes IN 47591 Ph: (812) 895-8000 | Family Medicine Of Vincennes Pc 328 N 2nd St Ste 205 Vincennes IN 47591 Ph: (812) 895-8000 |
| NPI Number | 1881879237 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 02/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881879237 | NPI | - | NPPES |
| DA2679 | Other | IN | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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