Individual
DR. JACQUELINE LEIGH AKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
306 E MAUMEE ST STE 303, ANGOLA, IN 46703-2044
(260) 665-8494
(260) 667-5564
Mailing address
1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 46825-1545
(260) 373-9700
(260) 373-9740
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01036764A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000595564
ANTHEM
IN
05
—
100369310
—
IN
01
—
P00698402
RAILROAD MEDICARE
IN
Enumeration date
08/20/2006
Last updated
11/26/2018
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