Individual
KIRSTEN SARAH VANDENHEUVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 436-8686
Mailing address
7601 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(800) 566-5659
(260) 436-8585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10005302A
IN
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
07/22/2026
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