| Tri State Internal Medicine Source | |
|
3700 Bellemeade Ave Ste 119 Evansville IN 47714-0102 | |
| (812) 477-4375 | |
| (812) 477-3375 |
| Full Name | Tri State Internal Medicine Source |
|---|---|
| Speciality | Internal Medicine |
| Location | 3700 Bellemeade Ave, Evansville, Indiana |
| Authorized Official Name and Position | Kelly L Kling-tipton (OWNER) |
| Authorized Official Contact | 8124774375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri State Internal Medicine Source 3700 Bellemeade Ave Ste 119 Evansville IN 47714-0102 Ph: (812) 477-4375 | Tri State Internal Medicine Source 3700 Bellemeade Ave Ste 119 Evansville IN 47714-0102 Ph: (812) 477-4375 |
| NPI Number | 1255646485 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 08/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255646485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Indiana) | Primary |
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