Organization
KOKOMO NEUROLOGICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY SMITH M.D. (PRESIDENT)
(765) 455-1600
Entity
Organization
Contact information
Practice address
208 CORWIN LN, KOKOMO, IN 46902-6612
(765) 455-1600
Mailing address
208 CORWIN LN, KOKOMO, IN 46902-6612
(765) 455-1600
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
50001664A
IN
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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