Individual
AMY B KRESSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1234 E DUPONT RD STE 5, FORT WAYNE, IN 46825-1545
(260) 373-9935
(260) 373-9926
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01062162A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000486515
ANTHEM PTAN
IN
01
—
1457390668
ANTHEM PTAN
IN
05
—
200819760
—
IN
Enumeration date
06/05/2006
Last updated
11/03/2025
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