NPI | 1265489975 |
---|---|
Doing Business As | KOKOMO GASTROENTEROLOGY & HEPATOLOGY |
Entity Type | Organization |
Authorized Contact | ANDREW KELLAR Regional Practice Administrator 765-457-8381 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: IN 0104783A) |
Enumeration Date | 2006-05-28 |
Last Update Date | 2007-11-16 |