| With Dignity Too Llc | |
|
1958 West Boulivard Kokomo IN 46902 | |
| (765) 450-6554 | |
| (765) 450-6744 |
| Full Name | With Dignity Too Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1958 West Boulivard, Kokomo, Indiana |
| Authorized Official Name and Position | Rita Mccrary (OFFICE MANG.) |
| Authorized Official Contact | 7654506554 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| With Dignity Too Llc 1080 N 400 E Kokomo IN 46901-3623 Ph: (765) 450-6554 | With Dignity Too Llc 1958 West Boulivard Kokomo IN 46902 Ph: (765) 450-6554 |
| NPI Number | 1457906141 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 02/22/2023 |
| Medicare PECOS PAC ID | 3072840438 |
|---|---|
| Medicare Enrollment ID | O20190807002074 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457906141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | John W Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780665448 PECOS PAC ID: 6800980947 Enrollment ID: I20080128000498 |
| Provider Name | Virginia K Delon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083804124 PECOS PAC ID: 7214178508 Enrollment ID: I20130730000041 |
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