Kent M Fellers in Fort Wayne - Nurse Anesthetist, Certified Registered
Kent M Fellers - NPI 1104831791
Kent M Fellers is a Nurse Anesthetist, Certified Registered in Fort Wayne, Indiana. Kent M Fellers practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Kent M Fellers is 1104831791. The last update date is 2020-04-06.
Kent M Fellers's current location address is 5052 N Clinton St, Fort Wayne, Indiana. You can contact this provider via phone number 2604848551 and fax number 2604825060. The mailing address for Kent M Fellers is 5052 N Clinton St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kent M Fellers |
|---|---|
| Address | 5052 N Clinton St, Fort Wayne, Indiana |
| Phone Number | 2604848551 |
| Fax Number | 2604825060 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1104831791 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2020-04-06 |
Provider Mailing Address Detail
| Address | 5052 N Clinton St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468255822 |
| Phone Number | 2604848551 |
| Fax Number | 2604825060 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | RN229962 |
|
Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 675839 | IN | ANTHEM | |
| 200998230 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kent M Fellers by the Centers for Medicare & Medicaid Services?
The Kent M Fellers has been assigned the NPI (National Provider Identifier) 1104831791 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kent M Fellers's facilities are situated?
The facilities of Kent M Fellers are physically located at the following address: 5052 N Clinton St, Fort Wayne, IN, 468255822.
What is the Kent M Fellers's specialty and taxonomy code?
The Kent M Fellers's specialty is Nurse Anesthetist, Certified Registered, and the corresponding taxonomy code is 367500000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104831791 to Kent M Fellers?
The Kent M Fellers received its 1104831791 assignment from the Centers for Medicare & Medicaid Services on 2006-07-30.
As of what date were the details pertaining to Kent M Fellers last refreshed?
The information related to the Kent M Fellers, including its address, specialty, and other relevant details, was last updated on 2020-04-06.
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