Organization Active NPI

Integumed LLC

  • Family Medicine Physician
  • Kokomo, IN
National Provider Identifier
1306569546
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Sep 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kellee E Perry, FNPNPI 1154073963
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
300076258MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221010000376 IN Part B Supplier - Clinic/Group Practice 6103202593 Receives reassigned benefits from 2 practitioners
Practice locations: Kokomo, IN; Tipton, IN; Marion, IN; Indianapolis, IN; Crawfordsville, IN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.