Organization
KOKOMO PAIN MANAGEMENT, LLC
Active
Other names
Medical Pain and Spine Care of Indiana
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETER KLIM DO (PRESIDENT)
(317) 776-7028
Entity
Organization
Contact information
Practice address
18077 RIVER RD STE 200, NOBLESVILLE, IN 46062-8334
(317) 776-7028
(317) 773-7910
Mailing address
18077 RIVER RD STE 200, NOBLESVILLE, IN 46062-8334
(317) 776-7028
(317) 773-7910
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
02002790A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200998560
—
IN
Enumeration date
10/01/2010
Last updated
08/23/2024
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