Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Vascular Surgery of Kokomo, PC

Organization Vascular Surgery Physician · NPI 1497702013

Vascular Surgery of Kokomo, PC provides Vascular Surgery Physician services in Kokomo, Indiana. Licensed in Indiana. Registered with an NPI since 2006.

Licensed in
IN
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

305 S Berkley Rd
Kokomo, IN 46901-5114 Not confirmed with CMS for 13 years — call before visiting
Phone: (765) 236-8750
Fax: (765) 236-8760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 01058152A (IN)

Record details

NPI number1497702013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Craig Miller — Physician · (765) 236-8750
NPI enumeratedMay 28, 2006
Last updated in NPPESMay 28, 2013
Mailing address305 S Berkley Rd, Kokomo, IN 46901-5114

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