Individual
KATHRYN ZACHMAN-PAVELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7625 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 432-1231
Mailing address
7625 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4133
(260) 432-1231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003975A
IN
Other
Enumeration date
06/27/2016
Last updated
07/13/2021
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