Individual
MRS. AMY E MOEHLENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1234 E DUPONT RD STE 3, FORT WAYNE, IN 46825-1545
(260) 672-6590
(260) 672-6599
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001507A
IN
Other
Enumeration date
01/16/2007
Last updated
10/02/2025
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