person
Kelly N Fawcett, NP
Family Nurse Practitioner in Fort Wayne, Indiana
NPI 1417155656

Kelly N Fawcett is a Family Nurse Practitioner based in Carmel, IN and is specialized in Family. Kelly N Fawcett practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Kelly N Fawcett is 1417155656 and holds a License No. 71002401A (Indiana).

The current practice location address for Kelly N Fawcett is 10307 Dupont Circle Dr W Ste A, Fort Wayne, IN and can be reached out via phone at 260-458-3440 and via fax at 260-458-3441.

Location: 10307 Dupont Circle Dr W Ste A, Fort Wayne, IN, 46032-3950
person
Provider Profile Details
NPI Number
1417155656
Provider Name
Kelly N Fawcett
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
10307 Dupont Circle Dr W Ste A, Fort Wayne, IN, 46032-3950
Phone Number
260-458-3440
Fax Number
260-458-3441
Provider Enumeration Date
07/10/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200867390 05 IN
institution
Provider Business Practice Location Address Details
Address
10307 Dupont Circle Dr W Ste A
City
State
Zip
46825-1633
Phone Number
260-458-3440
Fax Number
260-458-3441
person
Provider Business Mailing Address Details
Address
10307 Dupont Circle Dr W Ste A
City
State
Zip
46825-1633
Phone Number
260-458-3440
Fax Number
260-458-3441
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71002401A (Indiana)
Definition
Definition to come...
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