Individual
KAYLA N DORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 10, FORT WAYNE, IN 46845-1733
(260) 425-6800
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28187512A
IN
363L00000X
Nurse Practitioner
Primary
71007812A
IN
Other
Enumeration date
12/27/2017
Last updated
06/25/2021
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