Individual
KELLEY CHRISTOFFEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10021 DUPONT CIRCLE CT, FORT WAYNE, IN 46825-1604
(260) 426-8117
Mailing address
12825 CRYSTAL CREEK PKWY, FORT WAYNE, IN 46845-2360
(260) 316-2397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015918A
IN
Other
Enumeration date
10/17/2024
Last updated
10/17/2024
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