ST JOSEPH PRIMARY LLC

KOKOMO, IN
NPI1982650164
Doing Business AsSYCAMORE PEDIATRICS & ADOLESCENTS
Entity TypeOrganization
Authorized ContactANDREW KELLAR
Regional Practice Administrator
765-457-8381
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2006-05-26
Last Update Date2007-11-16
Business Address
ST JOSEPH PRIMARY LLC
3109 W SYCAMORE ST
KOKOMO, IN 46901-4026
Phone number: 765-457-8381
Mailing Address
ST JOSEPH PRIMARY LLC
3109 W SYCAMORE ST
KOKOMO, IN 46901-4026
Phone number: 765-457-8381