| Hickory Medical Direct Primary Care, Llc | |
|
208 W Columbus Ave Bellefontaine OH 43311-1434 | |
| (937) 404-2488 | |
| (937) 404-2428 |
| Full Name | Hickory Medical Direct Primary Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 208 W Columbus Ave, Bellefontaine, Ohio |
| Authorized Official Name and Position | Ryan D Kauffman (FOUNDER) |
| Authorized Official Contact | 9374042488 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickory Medical Direct Primary Care, Llc 208 W Columbus Ave Bellefontaine OH 43311-1434 Ph: (937) 404-2488 | Hickory Medical Direct Primary Care, Llc 208 W Columbus Ave Bellefontaine OH 43311-1434 Ph: (937) 404-2488 |
| NPI Number | 1295196087 |
|---|---|
| Provider Enumeration Date | 03/08/2016 |
| Last Update Date | 03/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295196087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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