Individual
KATHLEEN O'KEEFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11104 PARKVIEW CIRCLE DR, STE. 310, FORT WAYNE, IN 46845-1672
(260) 266-5230
(260) 266-5238
Mailing address
1234 E DUPONT RD, SUITE 1, FORT WAYNE, IN 46825-1545
(260) 373-7854
(260) 458-5664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28157559A
IN
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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