ANNALISSA KAMMEYER SMITH

FORT WAYNE, IN
NPI1710515887
Other NameANNALISSA KAMMEYER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IN  02007064A)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-01
Last Update Date2023-08-30
Business Address
ANNALISSA KAMMEYER SMITH
1818 CAREW ST STE 120
FORT WAYNE, IN 46805-4764
Phone number: 260-425-6200
Mailing Address
ANNALISSA KAMMEYER SMITH
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: