Kokomo Urology Inc. is a Urology in Kokomo, Indiana. Kokomo Urology Inc. practices all healthcare services and medical treatments related to Urology. The NPI Number for Kokomo Urology Inc. is 1104026160. The last update date is 2008-05-12.
Kokomo Urology Inc.'s current location address is 2345 W Lincoln Rd, Kokomo, Indiana. You can contact this provider via phone number 7654554075 and fax number 7654554094. The mailing address for Kokomo Urology Inc. is 2345 W Lincoln Rd, Kokomo, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kokomo Urology Inc. |
|---|---|
| Address | 2345 W Lincoln Rd, Kokomo, Indiana |
| Phone Number | 7654554075 |
| Fax Number | 7654554094 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Peelle W Willis |
| Credentials | M.D. |
| Telephone Number | 7654554075 |
NPI Number Detail
| NPI Number | 1104026160 |
|---|---|
| Provider Enumeration Date | 2007-07-18 |
| Last Updated Date | 2008-05-12 |
Provider Mailing Address Detail
| Address | 2345 W Lincoln Rd |
|---|---|
| City | Kokomo |
| State | Indiana (IN) |
| Post Code | 469028012 |
| Phone Number | 7654554075 |
| Fax Number | 7654554094 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100136840A | IN | -- |
Post Comment/ Review Below
What is the Kokomo Urology Inc.'s 1104026160?
The Kokomo Urology Inc.'s NPI (National Provider Identifier) Number is 1104026160. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kokomo Urology Inc.'s facilities are situated?
The facilities of Kokomo Urology Inc. are physically located at the following address: 2345 W Lincoln Rd, Kokomo, IN, 469028012.
What is Kokomo Urology Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kokomo Urology Inc.'s specialized field of practice is Urology, and the corresponding taxonomy code that categorizes this area of specialization is 208800000X.
On what date did the Kokomo Urology Inc. receive the assignment of its 1104026160 from the Centers for Medicare & Medicaid Services?
The Kokomo Urology Inc. was issued its 1104026160 by the Centers for Medicare & Medicaid Services on 2007-07-18.
As of what date were the Kokomo Urology Inc.'s details last updated?
The information pertaining to the Kokomo Urology Inc., including its address, specialty, and other details, was most recently updated on 2008-05-12.