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Individual

CALEB JAMES PEMBERTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
2340 W SYCAMORE ST, KOKOMO, IN 46901-4108
(765) 437-9394
Mailing address
210 E ADAMS ST, TIPTON, IN 46072-2004
(765) 437-9394

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015354A
IN

Other

Enumeration date
10/30/2023
Last updated
07/03/2024
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