Individual
RACHEL MARIE KAWIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7232 ENGLE RD, FORT WAYNE, IN 46804-2222
(260) 436-7205
Mailing address
7232 ENGLE RD, FORT WAYNE, IN 46804-2222
(260) 436-7205
(260) 432-1339
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
01085878A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01085878A
MD
IN
Enumeration date
05/25/2017
Last updated
08/09/2021
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