# DUKES PHYSICIAN SERVICES LLC

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

## Provider details

- **NPI number:** 1255396883
- **Authorized official:** KRISTINA MUSIC (DIRECTOR/PROVIDER ENROLLMENT)
- **Authorized official phone:** (615) 465-7377

## Contact information

- **Practice address:** 275 W 12TH ST, PERU, IN 46970-1638
- **Practice address phone:** (765) 472-8000
- **Mailing address:** 1000 N BROADWAY, PERU, IN 46970-1070
- **Mailing address phone:** (765) 472-5335

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/18/2006
- **Last updated:** 10/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200514420 | — | IN |