Individual
KAYLEIGH CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(260) 266-7100
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
28248712A
IN
363L00000X
Nurse Practitioner
Primary
71016119A
IN
Other
Enumeration date
11/12/2024
Last updated
03/03/2025
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