Individual
KIMBERLY E RECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11108 PARKVIEW CIRCLE, SUITE 5100, FORT WAYNE, IN 46845
(260) 266-2800
(260) 266-2805
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71002397
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000667521
ANTHEM
IN
05
—
200867410
—
IN
01
—
P00895105
MEDICARE RR
IN
Enumeration date
06/25/2007
Last updated
10/20/2022
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