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Individual

ANNA NICOLE KEMLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7950 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 434-6481
Mailing address
6920 POINTE INVERNESS WAY STE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71010390A
IN
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0026808
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
OH
Enumeration date
07/24/2020
Last updated
02/11/2025
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