# PARAGON HEALTH PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PARAGON HEALTH PC
- **Other names:** Paragon Urology
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154155695
- **Legal business name:** PARAGON HEALTH PC
- **Authorized official:** KATHY JO UECKER (CREDENTILING)
- **Authorized official phone:** (269) 420-9404

## Contact information

- **Practice address:** 6938 ELM VALLEY DR, KALAMAZOO, MI 49009-7436
- **Practice address phone:** (269) 364-6865
- **Practice address fax:** (269) 381-3063
- **Mailing address:** 6938 ELM VALLEY DR, KALAMAZOO, MI 49009-7436
- **Mailing address phone:** (269) 364-6865
- **Mailing address fax:** (269) 381-3063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/28/2024
- **Last updated:** 08/28/2024