# AMERICAN HEALTH NETWORK OF INDIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMERICAN HEALTH NETWORK OF INDIANA, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1629179130
- **Legal business name:** AMERICAN HEALTH NETWORK OF INDIANA, LLC
- **Authorized official:** BEN H PARK MD (PRESIDENT AND CEO)
- **Authorized official phone:** (317) 580-6307

## Contact information

- **Practice address:** 1907 W SYCAMORE ST, SUITE 250, KOKOMO, IN 46901-5148
- **Practice address phone:** (765) 452-6011
- **Practice address fax:** (765) 452-8960
- **Mailing address:** 1907 W SYCAMORE ST, SUITE 250, KOKOMO, IN 46901-5148
- **Mailing address phone:** (765) 452-6011
- **Mailing address fax:** (765) 452-8960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/26/2006
- **Last updated:** 01/08/2008