NPI Profile for ST JOSEPH PRIMARY CARE LLC in KOKOMO, IN.
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Oncology |
207RX0202X | 11 | Physician/Internal Medicine | |
Acute Care |
363LA2100X | 50 | Nurse Practitioner | |
Hematology |
207RH0000X | 11 | Physician/Internal Medicine | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Surgical Oncology |
2086X0206X | 02 | Physician/General Surgery |
| NPI Number | 1487377685 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 09/22/2022 | |
| Last updated | 10/10/2022 - About 4 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ST. JOSEPH PRIMARY CARE, LLC
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