Organization
INTERNAL MEDICINE ASSOCIATES OF KOKOMO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA S SHIVELY OFFICE MANAGER (OFFICE MANAGER)
(765) 455-9801
Entity
Organization
Contact information
Practice address
2350 S DIXON RD, SUITE 400, KOKOMO, IN 46902-6419
(765) 455-9801
(765) 455-9840
Mailing address
2350 S DIXON RD, SUITE 400, KOKOMO, IN 46902-6419
(765) 455-9801
(765) 455-9840
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
207R00000X
IN
Other
Enumeration date
02/16/2007
Last updated
08/22/2020
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