Individual
BENJAMIN YORK CONSTABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5433
Mailing address
738 LAKEVIEW DR, BURLINGTON, IN 46915-9110
(765) 480-0959
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002911A
IN
Other
Enumeration date
08/19/2019
Last updated
10/13/2025
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