KELLY A ANDERSON

FORT WAYNE, IN
NPI1043592033
Former NameKELLY A BRICKLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71003789A)
Enumeration Date2011-09-15
Last Update Date2012-01-13
Business Address
-- KELLY A ANDERSON NP
7900 W JEFFERSON BLVD SUITE 304
FORT WAYNE, IN 46804-4128
Phone number: 260-969-6200
Mailing Address
-- KELLY A ANDERSON NP
PO BOX 8857
FORT WAYNE, IN 46898-8857
Phone number: 260-969-6200
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