KRISTINA R LEAVELL

FORT WAYNE, IN
NPI1598808156
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  10000742A)
Enumeration Date2007-02-14
Last Update Date2020-10-13
Business Address
KRISTINA R LEAVELL PA-C
2516 E DUPONT RD
FORT WAYNE, IN 46825-1608
Phone number: 260-458-3755
Mailing Address
KRISTINA R LEAVELL PA-C
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3516