Organization
HICKORY MEDICAL DIRECT PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN D KAUFFMAN MD (FOUNDER)
(937) 404-2488
Entity
Organization
Contact information
Practice address
208 W COLUMBUS AVE, BELLEFONTAINE, OH 43311-1434
(937) 404-2488
(937) 404-2428
Mailing address
208 W COLUMBUS AVE, BELLEFONTAINE, OH 43311-1434
(937) 404-2488
(937) 404-2428
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/08/2016
Last updated
03/08/2016
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