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1538170832
SHELBY A. KENNER
FORT WAYNE, IN
NPI
1538170832
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Former Name
SHELBY A. DIETRICH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 01061016A)
Enumeration Date
2006-08-11
Last Update Date
2022-08-15
Business Address
SHELBY A. KENNER MD
5717 S ANTHONY BLVD SUITE 100
FORT WAYNE, IN 46806-3386
Phone number: 260-469-3984
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Mailing Address
SHELBY A. KENNER MD
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-458-3210
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