Individual
MRS. TAMMI L KELPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, RN
Contact information
Practice address
5111 N BEND DR, FORT WAYNE, IN 46804-1753
(260) 436-8807
Mailing address
3526 N WASHINGTON RD, FORT WAYNE, IN 46802-4907
(260) 760-5228
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28090119A
IN
225700000X
Massage Therapist
Primary
MT21605681
IN
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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