person
Kevin D. Waldo SR., NP
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1356018543

Kevin D. Waldo SR. is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Kevin D. Waldo SR. practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Kevin D. Waldo SR. is 1356018543 and holds a License No. 71011479A (Indiana).

The current practice location address for Kevin D. Waldo SR. is 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN and can be reached out via phone at 260-432-2297 and via fax at 260-969-7266.

Location: 7900 W Jefferson Blvd Ste 201, Fort Wayne, IN, 46804-7934
person
Provider Profile Details
NPI Number
1356018543
Provider Name
Kevin D. Waldo SR.
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
7900 W Jefferson Blvd Ste 201, Fort Wayne, IN, 46804-7934
Phone Number
260-432-2297
Fax Number
260-969-7266
Provider Enumeration Date
08/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7900 W Jefferson Blvd Ste 201
City
State
Zip
46804-4128
Phone Number
260-432-2297
Fax Number
260-969-7266
person
Provider Business Mailing Address Details
Address
7900 W Jefferson Blvd Ste 201
City
State
Zip
46804-4128
Phone Number
260-432-2297
Fax Number
260-969-7266
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71011479A (Indiana)
Definition
Definition to come...
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