# HICKORY MEDICAL DIRECT PRIMARY CARE, LLC

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

## Provider details

- **NPI number:** 1295196087
- **Authorized official:** DR. RYAN D KAUFFMAN MD (FOUNDER)
- **Authorized official phone:** (937) 404-2488

## Contact information

- **Practice address:** 208 W COLUMBUS AVE, BELLEFONTAINE, OH 43311-1434
- **Practice address phone:** (937) 404-2488
- **Practice address fax:** (937) 404-2428
- **Mailing address:** 208 W COLUMBUS AVE, BELLEFONTAINE, OH 43311-1434
- **Mailing address phone:** (937) 404-2488
- **Mailing address fax:** (937) 404-2428

## Taxonomy

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

## Other

- **Enumeration date:** 03/08/2016
- **Last updated:** 03/08/2016