Kellner, Nicole M.

Kellner, Nicole M. is an individual health care provider with primary practice located at 7900 W Jefferson Blvd Ste 306 , Fort Wayne IN 46804-4128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kellner, Nicole M. can be contacted via phone (260) 479-3514.

Contact Information

Primary practice address
7900 W Jefferson Blvd Ste 306 Fort Wayne IN 46804-4128
Phone: (260) 479-3514
Fax: (260) 479-3520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10004106A Indiana

Profile Details

NPI number 1245581677
LBN Legal business name Kellner, Nicole M.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2012
Last updated Aug 14th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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