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Kay L. Church, FNP
Family Nurse Practitioner in Warsaw, Indiana
NPI 1699972976

Kay L. Church is a Family Nurse Practitioner based in Fort Wayne, IN and is specialized in Family. Kay L. Church practices in Warsaw, IN and has the professional credentials of FNP. The NPI Number for Kay L. Church is 1699972976 and holds a License No. 71002398A (Indiana).

The current practice location address for Kay L. Church is 1205 Provident Dr Ste A, Warsaw, IN and can be reached out via phone at 574-371-2578 and via fax at 574-371-2580.

Location: 1205 Provident Dr Ste A, Warsaw, IN, 46804-7934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699972976
Provider Name
Kay L. Church
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1205 Provident Dr Ste A, Warsaw, IN, 46804-7934
Phone Number
574-371-2578
Fax Number
574-371-2580
Provider Enumeration Date
06/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200874080 05 IN
institution
Provider Business Practice Location Address Details
Address
1205 Provident Dr Ste A
City
Warsaw
State
Indiana
Zip
46580-3265
Phone Number
574-371-2578
Fax Number
574-371-2580
person
Provider Business Mailing Address Details
Address
1205 Provident Dr Ste A
City
Warsaw
State
Indiana
Zip
46580-3265
Phone Number
574-371-2578
Fax Number
574-371-2580
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71002398A (Indiana)
Definition
Definition to come...
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