LISA KAY KRILL

FORT WAYNE, IN
NPI1841808920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  28189312A)
Enumeration Date2020-07-15
Last Update Date2020-07-15
Business Address
LISA KAY KRILL APRN
6326 CONSTITUTION DR
FORT WAYNE, IN 46804-1518
Phone number: 260-515-3275
Mailing Address
LISA KAY KRILL APRN
9496 E 375 N
CHURUBUSCO, IN 46723-9350
Phone number: 260-466-2159