Individual
KRISTIN DANIELLE HUMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 46845-1715
(260) 266-8900
(260) 266-8935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
02005760A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R10498
—
AL
Enumeration date
05/10/2010
Last updated
10/12/2022
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