KELLY WOLF

FORT WAYNE, IN
NPI1750082798
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: IN  28157228A)
Enumeration Date2023-03-16
Last Update Date2023-03-16
Business Address
KELLY WOLF
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431
Mailing Address
KELLY WOLF
2121 LAKE AVE
FORT WAYNE, IN 46805-5100
Phone number: 260-426-5431