OrganizationActive
American Health Network of Indiana, LLC
NPI 1629179130 · Obstetrics & Gynecology Physician · Kokomo, IN
Provider details
- NPI number
- 1629179130
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- American Health Network of Indiana, LLC
- Organization subpart
- Yes
- Authorized official
- Ben Park, President and Ceo(317) 580-6307
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1907 W Sycamore St
Suite 250
Kokomo, IN 46901-5148
Phone: (765) 452-6011
Fax: (765) 452-8960
Approximate (ZIP-level) locationGet directions
Mailing address
1907 W Sycamore St
Kokomo, IN 46901-5148
Registry dates
- Enumerated
- 2006-09-26
- Last updated
- 2008-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.