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1376325126
KENDRA E. GREATHOUSE
FORT WAYNE, IN
NPI
1376325126
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71014490A)
Enumeration Date
2023-10-17
Last Update Date
2024-08-14
Business Address
KENDRA E. GREATHOUSE NP
7916 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-434-6005
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Mailing Address
KENDRA E. GREATHOUSE NP
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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