Active NPI
Integumed LLC
- Family Medicine Physician
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- INTEGUMED LLC
- Practice address
- 194 E Southway Blvd
Kokomo, IN 46902-3650 - Phone
- (765) 485-1814
- Fax
- (765) 316-7962
- NPI assigned
- Sep 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kellee E Perry, FNP
- Title
- Owner
- Phone
- (765) 251-3987
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
194 E Southway Blvd
Kokomo, IN 46902-3650
Mailing address
12315 Hancock St Ste 24
Carmel, IN 46032-5885
Phone (317) 708-3732
Other practice location 1
606 E Grant St
Marion, IN 46952-2950
Phone (765) 251-3987
Other practice location 2
239 Ash St Ste B
Tipton, IN 46072-1752
Phone (765) 485-1814
Other practice location 3
1958 W Boulevard
Kokomo, IN 46902-6078
Phone (765) 485-1814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300076258 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1720 Lafayette Rd
Crawfordsvlle, IN 47933
Phone (765) 362-1010
1958 W Boulevard
Kokomo, IN 46902
Phone (317) 441-7981
194 E Southway Blvd
Kokomo, IN 46902
Phone (765) 450-4843
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Kokomo, IN
- NPI 1023650868
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758672000000",
"number": "1306569546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12315 HANCOCK ST STE 24",
"city": "CARMEL",
"state": "IN",
"postal_code": "460325885",
"telephone_number": "317-708-3732",
"fax_number": "888-316-7962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "194 E SOUTHWAY BLVD",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469023650",
"telephone_number": "765-485-1814",
"fax_number": "765-316-7962"
}
],
"practiceLocations": [
{
"address_1": "606 E Grant St",
"address_purpose": "LOCATION",
"city": "Marion",
"state": "IN",
"postal_code": "469522950",
"country_code": "US",
"telephone_number": "765-251-3987",
"fax_number": "888-316-7962",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "239 Ash St Ste B",
"address_purpose": "LOCATION",
"city": "Tipton",
"state": "IN",
"postal_code": "460721752",
"country_code": "US",
"telephone_number": "765-485-1814",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1958 W Boulevard",
"address_purpose": "LOCATION",
"city": "Kokomo",
"state": "IN",
"postal_code": "469026078",
"country_code": "US",
"telephone_number": "765-485-1814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "INTEGUMED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-22",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "KELLEE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "765-251-3987",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300076258",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.