EMERI C KINNAMON

FORT WAYNE, IN
NPI1396230140
Former NameEMERI C TAIVALKOSKI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71008224A)
Additional Taxonomies163W00000X Registered Nurse
(Licence: IN  28216134A)
Enumeration Date2018-06-25
Last Update Date2025-07-11
Business Address
EMERI C KINNAMON NP
3909 NEW VISION DR
FORT WAYNE, IN 46845-1725
Phone number: 260-469-6610
Mailing Address
EMERI C KINNAMON NP
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: