# OHANA PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043021553
- **Authorized official:** KYLE CARR (PRESIDENT)
- **Authorized official phone:** (317) 796-1191

## Contact information

- **Practice address:** 6436 S JOHN BUTLER RD, COLUMBUS, IN 47201-9437
- **Practice address phone:** (317) 697-9296
- **Mailing address:** 6436 S JOHN BUTLER RD, COLUMBUS, IN 47201-9437
- **Mailing address phone:** (317) 697-9296

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2025
- **Last updated:** 01/15/2025