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St Joseph Primary LLC

Family Medicine Physician in Kokomo, IN · enumerated 2006 · authorized official Andrew Kellar, Regional Practice Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104866136

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Registry record

Entity type Organization (Type 2)
Legal business name St Joseph Primary LLC
Other name <Unavail>
Practice address 3109 W Sycamore St, Kokomo, IN, 46901
Phone (765) 457-8381
Fax (765) 457-4443
Enumeration date Jun 7, 2006
Last updated in NPPES Oct 23, 2007

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Andrew Kellar
Title Regional Practice Manager
Phone (765) 457-8381

Other identifiers

Identifier Type State Issuer
000000183506 Other IN BLUE CROSS BLUE SHIELD

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is St Joseph Primary LLC?
St Joseph Primary LLC is registered in NPPES as a Family Medicine Physician (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-23.