| NPI | 1316065766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A SMITH Owner Physician 260-489-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01043264) |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology (Licence: IN 01022346) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |