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Proactive Mso, Llc
Primary Care Clinic/Center in Kentland, Indiana
NPI 1710525175

Proactive Mso, Llc is a Primary Care Clinic/Center based in Simpsonville, IN and is specialized in Primary Care. Proactive Mso, Llc practices in Kentland, IN. The NPI Number for Proactive Mso, Llc is 1710525175 and holds a License No. (Indiana).

The current practice location address for Proactive Mso, Llc is 13188 S 50 E, Kentland, IN and can be reached out via phone at 812-645-1892.

Location: 13188 S 50 E, Kentland, IN, 29681-6207
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1710525175
Provider Name
Proactive Mso, Llc
Credential
Provider Entity Type
Organization
Address
13188 S 50 E, Kentland, IN, 29681-6207
Phone Number
812-645-1892
Fax Number
Provider Enumeration Date
12/17/2019
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
13188 S 50 E
City
Kentland
State
Indiana
Zip
47951-8540
Phone Number
812-645-1892
Fax Number
person
Provider Business Mailing Address Details
Address
13188 S 50 E
City
Kentland
State
Indiana
Zip
47951-8540
Phone Number
812-645-1892
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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