Organization
EMERGENCY MEDICINE GROUP OF KOKOMO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS HAHN MD (PRESIDENT)
(317) 870-0490
Entity
Organization
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-4113
(317) 870-0490
(765) 456-5805
Mailing address
PO BOX 6069, DEPT. 32, INDIANAPOLIS, IN 46206-6069
(317) 870-0490
(317) 870-0499
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200233570
—
IN
Enumeration date
06/17/2006
Last updated
06/13/2011
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