KELLY R HORN

FORT WAYNE, IN
NPI1912393570
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy176B00000X Midwife
(Licence: IN  09000257A)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IN  71005416A)
Enumeration Date2015-04-10
Last Update Date2022-10-03
Business Address
KELLY R HORN
11123 PARKVIEW PLAZA DR STE 101
FORT WAYNE, IN 46845-1707
Phone number: 260-422-7455
Mailing Address
KELLY R HORN
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: