Individual
MRS. KELLY JO TRIEGLAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
530 GUILFORD ST, HUNTINGTON, IN 46750-2708
(260) 355-0722
Mailing address
12110 WEIGELA CT, FORT WAYNE, IN 46814-4536
(260) 672-3094
(260) 672-0573
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000268A
IN
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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