| Healthy Children Healthy Teens | |
|
117 W Sycamore St Kokomo IN 46901-4634 | |
| (765) 453-8052 | |
| (765) 864-8711 |
| Full Name | Healthy Children Healthy Teens |
|---|---|
| Speciality | Family Medicine |
| Location | 117 W Sycamore St, Kokomo, Indiana |
| Authorized Official Name and Position | Alan Biggs (CFO) |
| Authorized Official Contact | 7654538476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Children Healthy Teens Po Box 7101 Indianapolis IN 46207-7101 Ph: (765) 453-8052 | Healthy Children Healthy Teens 117 W Sycamore St Kokomo IN 46901-4634 Ph: (765) 453-8052 |
| NPI Number | 1861752669 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 05/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861752669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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