Individual
KRISTEN G KEITZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
909 E STATE BLVD, FORT WAYNE, IN 46805-3404
(260) 481-2700
(260) 481-2838
Mailing address
909 E STATE BLVD, FORT WAYNE, IN 46805-3404
(260) 481-2700
(260) 481-2838
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28221911A
IN
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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