Individual
KAILEY NEUMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 515-3275
Mailing address
6455 S 400 E, WOLCOTTVILLE, IN 46795-9413
(260) 336-3063
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71013572A
IN
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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