Individual
KELLY N FAWCETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9604 COLDWATER RD STE 207, FORT WAYNE, IN 46825-2096
(260) 438-8819
(260) 383-8368
Mailing address
9604 COLDWATER RD STE 207, FORT WAYNE, IN 46825-2096
(260) 438-8819
(260) 383-8368
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200867390
—
IN
Enumeration date
07/10/2007
Last updated
11/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us