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St Joseph Primary Llc
Family Medicine Physician in Kokomo, Indiana
NPI 1477590164

St Joseph Primary Llc is a Family Medicine Physician based in Kokomo, IN. St Joseph Primary Llc practices in Kokomo, IN. The NPI Number for St Joseph Primary Llc is 1477590164 and holds a License No. (Indiana).

The current practice location address for St Joseph Primary Llc is 188 E Southway Blvd, Kokomo, IN and can be reached out via phone at 765-453-9000 and via fax at 765-457-4443.

Location: 188 E Southway Blvd, Kokomo, IN, 46902-3650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477590164
Provider Name
St Joseph Primary Llc
Credential
Provider Entity Type
Organization
Address
188 E Southway Blvd, Kokomo, IN, 46902-3650
Phone Number
765-453-9000
Fax Number
765-457-4443
Provider Enumeration Date
06/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000183506 01 IN BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
188 E Southway Blvd
City
Kokomo
State
Indiana
Zip
46902-3650
Phone Number
765-453-9000
Fax Number
765-457-4443
person
Provider Business Mailing Address Details
Address
188 E Southway Blvd
City
Kokomo
State
Indiana
Zip
46902-3650
Phone Number
765-453-9000
Fax Number
765-457-4443
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
(Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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