| Proactive MD Vincennes Health Center | |
|
1602 Upper 11th St Vincennes IN 47591-4820 | |
| (812) 886-4557 | |
| Not Available |
| Full Name | Proactive MD Vincennes Health Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1602 Upper 11th St, Vincennes, Indiana |
| Authorized Official Name and Position | Mark a Kemble (CMO) |
| Authorized Official Contact | 8646408355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proactive MD Vincennes Health Center 86 Villa Rd Ste 100 Greenville SC 29615-3052 Ph: (864) 640-8355 | Proactive MD Vincennes Health Center 1602 Upper 11th St Vincennes IN 47591-4820 Ph: (812) 886-4557 |
| NPI Number | 1326577396 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 09/15/2026 |
| Certification Date | 09/15/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326577396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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