KAITLYN NICOLE KING

FORT WAYNE, IN
NPI1518335132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10001907A)
Enumeration Date2015-09-14
Last Update Date2018-10-23
Business Address
KAITLYN NICOLE KING PA-C
5050 N CLINTON ST
FORT WAYNE, IN 46825-5886
Phone number: 260-484-8551
Mailing Address
KAITLYN NICOLE KING PA-C
5052 N CLINTON ST
FORT WAYNE, IN 46825-5822
Phone number: 260-484-8551