Individual
WILLIS W PEELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2345 W LINCOLN RD, KOKOMO, IN 46902-8012
(765) 455-4075
(765) 455-4094
Mailing address
679 E COUNTY LINE RD, GREENWOOD, IN 46143-1049
(317) 859-7222
(317) 859-7220
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
01024373
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000085569
BC
—
05
—
200063040
—
IN
Enumeration date
09/29/2005
Last updated
06/30/2025
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