Proactive Mso, LLC

Organization Active NPI Primary Care Clinic/Center · Delphi, IN

NPI 1629614979 · NPPES record last updated Sep 2, 2026

Key facts

NPI
1629614979
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
PROACTIVE MSO, LLC
Practice address
300 W Vine St
Delphi, IN 46923-1651
Phone
(812) 645-1892
NPI assigned
Nov 21, 2019
Organization subpart
No

Authorized official

Name
Mark A Kemble, MD
Title
Chief Medical Officer
Phone
(864) 640-8355

Corporate family (same tax ID) 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

National Provider Directory

Tax ID family
W Lafayette Health Center (35 organizations share this tax ID)

Locations

300 W Vine St
Delphi, IN 46923
Phone (765) 564-3895

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Yes

Addresses

Primary practice location

300 W Vine St
Delphi, IN 46923-1651

Mailing address

86 Villa Rd Ste 100
Greenville, SC 29615-3052
Phone (864) 640-8355

Other names

  • Proactive MD Delphi Health Center Doing business as
  • Proactive MD Other name

Other providers in Delphi, IN

All providers in Delphi, IN · Primary Care Clinic/Center in Indiana

Sources for this page

Verify at the official NPI Registry.