Individual
BENJAMIN SHELDON KAMMERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4160
(260) 435-7001
Mailing address
4335 WINTERFIELD RUN, FORT WAYNE, IN 46804-4842
(260) 445-3150
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71016788A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2025
Last updated
07/01/2025
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