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General NPI Number Information
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NPI Number | 1306569546
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Entity Type | Organization
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Legal Business Name | INTEGUMED LLC
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 194 E SOUTHWAY BLVD
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City | KOKOMO
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State | IN
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Zip | 46902-3650
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Country | US
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Telephone | 765-485-1814
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Fax | 765-316-7962
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Provider Business Mailing Address
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Address Line | 12315 HANCOCK ST STE 24
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City | CARMEL
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State | IN
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Zip | 46032-5885
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Country | US
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Telephone | 317-708-3732
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Fax | 888-316-7962
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Authorized Official
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Title or Position | OWNER
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Name | KELLEE E PERRY
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Credential | FNP
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Telephone | 765-251-3987
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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