Individual
KIRSTEN BRACHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3640 NEW VISION DRIVE, SUITE A, FORT WAYNE, IN 46845-1717
(260) 482-4440
Mailing address
3640 NEW VISION DRIVE, SUITE A, FORT WAYNE, IN 46845-1717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002138A
IN
Other
Enumeration date
09/01/2016
Last updated
11/23/2016
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