Individual
LENY PHILIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3118 S LAFOUNTAIN ST, KOKOMO, IN 46902-3710
(765) 864-4160
(765) 864-4166
Mailing address
3118 S LAFOUNTAIN ST, KOKOMO, IN 46902-3710
(765) 864-4160
(765) 864-4166
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11168
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MA02130
—
RI
Enumeration date
10/19/2005
Last updated
08/08/2014
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