Individual
KEVIN D. WALDO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1355 MARINERS DR, WARSAW, IN 46582-7145
(260) 266-5230
(260) 266-5219
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71011479A
IN
Other
Enumeration date
08/25/2021
Last updated
09/02/2025
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