Individual
KAITLIN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2514 E DUPONT RD STE 100, FORT WAYNE, IN 46825-1619
(260) 484-8830
(260) 483-1911
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10002186A
IN
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/29/2016
Last updated
05/19/2025
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