Individual
KAITLYN ANN TELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
(260) 482-5060
Mailing address
5052 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 408-2203
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.465963
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28286190A
IN
Other
Enumeration date
12/28/2022
Last updated
10/28/2025
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