# VASCULAR SURGERY OF KOKOMO, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1497702013
- **Authorized official:** CRAIG A MILLER MD (PHYSICIAN)
- **Authorized official phone:** (765) 236-8750

## Contact information

- **Practice address:** 305 S BERKLEY RD, KOKOMO, IN 46901-5114
- **Practice address phone:** (765) 236-8750
- **Practice address fax:** (765) 236-8760
- **Mailing address:** 305 S BERKLEY RD, KOKOMO, IN 46901-5114
- **Mailing address phone:** (765) 236-8750
- **Mailing address fax:** (765) 236-8760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 01058152A | IN | Yes |

## Other

- **Enumeration date:** 05/28/2006
- **Last updated:** 05/28/2013