STACY JEAN KAHL

FORT WAYNE, IN
NPI1295492668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71012027A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28247504A)
Enumeration Date2021-11-20
Last Update Date2022-10-15
Business Address
STACY JEAN KAHL
11141 PARKVIEW PLAZA DR STE 310
FORT WAYNE, IN 46845-1714
Phone number: 260-266-8840
Mailing Address
STACY JEAN KAHL
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: