Directclinic | |
300 W Ohio St Kendallville IN 46755-2018 | |
(260) 212-1906 | |
Not Available |
Full Name | Directclinic |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 300 W Ohio St, Kendallville, Indiana |
Authorized Official Name and Position | Sudhakar Santhana Krishnan (CEO) |
Authorized Official Contact | 2607500418 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Directclinic 1355 Getz Rd Ste C Fort Wayne IN 46804-1609 Ph: (260) 212-1900 | Directclinic 300 W Ohio St Kendallville IN 46755-2018 Ph: (260) 212-1906 |
NPI Number | 1154086841 |
---|---|
Provider Enumeration Date | 11/08/2021 |
Last Update Date | 11/30/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154086841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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Kendallville Family Care Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Lake Terrace Dr, Kendallville, IN 46755 Phone: 260-349-9240 Fax: 260-349-9244 |