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Organization
ST. JOSEPH PRIMARY LLC
Active
Organization
ST. JOSEPH PRIMARY LLC
Active
Other names
Lincoln Rd. Surgeons
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW KELLAR (REGIONAL PRACTICE ADMINISTRATOR)
(765) 457-8381
Entity
Organization
Contact information
Practice address
2343 W LINCOLN RD, KOKOMO, IN 46902-8012
(765) 455-4090
(765) 457-4443
Mailing address
2343 W LINCOLN RD, KOKOMO, IN 46902-8012
(765) 455-4090
(765) 457-4443
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/25/2007
Last updated
11/16/2007
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