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3504 S Lafountain St Kokomo IN 46902-3803 | |
(765) 864-5790 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 3504 S Lafountain St, Kokomo, Indiana |
Authorized Official Name and Position | Theodore T Brown (COO) |
Authorized Official Contact | 7654538456 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 661 Indianapolis IN 46206-0661 Ph: (765) 864-5790 | 3504 S Lafountain St Kokomo IN 46902-3803 Ph: (765) 864-5790 |
NPI Number | 1750538617 |
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Provider Enumeration Date | 08/22/2008 |
Last Update Date | 12/06/2010 |
Identifier | Type | State | Issuer |
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1750538617 | NPI | - | NPPES |
200333160D | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 02003102 (Indiana) | Primary |
Community Howard Physician Network, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3500 S Lafountain St, Kokomo, IN 46902 Phone: 317-621-9312 | |
Medical Surgical Associates Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Reynolds Dr, Kokomo, IN 46902 Phone: 765-453-0802 Fax: 765-455-4258 | |
Indiana Health Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3118 S Lafountain St, Kokomo, IN 46902 Phone: 765-864-4160 | |
Navjot Singh Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3611 S Reed Rd, Suite 211, Kokomo, IN 46902 Phone: 765-864-5784 Fax: 765-864-5785 |