# FAMILY MEDICINE OF VINCENNES PC

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

## Provider details

- **NPI number:** 1881879237
- **Authorized official:** MICHAEL J KELLY (PRESIDENT)
- **Authorized official phone:** (812) 895-8000

## Contact information

- **Practice address:** 328 N 2ND ST, STE 205, VINCENNES, IN 47591
- **Practice address phone:** (812) 895-8000
- **Practice address fax:** (812) 895-8006
- **Mailing address:** 328 N 2ND ST, STE 205, VINCENNES, IN 47591
- **Mailing address phone:** (812) 895-8000
- **Mailing address fax:** (812) 895-8006

## Taxonomy

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

## Other

- **Enumeration date:** 01/04/2008
- **Last updated:** 02/25/2008