Individual
DR. KRISTIN D WILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10515 ILLINOIS RD, FORT WAYNE, IN 46814-9182
(260) 373-9200
(260) 373-9219
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01071038A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000767126
ANTHEM
IN
05
—
201069330
—
IN
Enumeration date
07/02/2008
Last updated
10/20/2022
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