KELLY WAKEFIELD

FORT WAYNE, IN
NPI1164073557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner Women's Health
(Licence: IN  71009784A)
Enumeration Date2019-09-26
Last Update Date2020-02-11
Business Address
KELLY WAKEFIELD APRN.CNP
2700 LAFAYETTE ST
FORT WAYNE, IN 46806-1100
Phone number: 260-702-4404
Mailing Address
KELLY WAKEFIELD APRN.CNP
2700 LAFAYETTE ST
FORT WAYNE, IN 46806-1100
Phone number: 260-702-4404
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