Organization
PRO2 KOKOMO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FORD (PRESIDENT/CEO)
(513) 338-8201
Entity
Organization
Contact information
Practice address
2016 W SYCAMORE ST, KOKOMO, IN 46901-4112
(765) 868-8344
(765) 868-8345
Mailing address
2016 W SYCAMORE ST, KOKOMO, IN 46901-4112
(765) 868-8344
(765) 868-8345
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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