| Bonnie Kiser Llc | |
|
10315 Dawsons Creek Blvd Fort Wayne IN 46825-1912 | |
| (260) 387-6340 | |
| (260) 387-6984 |
| Full Name | Bonnie Kiser Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10315 Dawsons Creek Blvd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Bonnie Kiser (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 2607105651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bonnie Kiser Llc 8121 Hanauer Rd Fort Wayne IN 46818-1897 Ph: () - | Bonnie Kiser Llc 10315 Dawsons Creek Blvd Fort Wayne IN 46825-1912 Ph: (260) 387-6340 |
| NPI Number | 1225427586 |
|---|---|
| Provider Enumeration Date | 01/09/2015 |
| Last Update Date | 01/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225427586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 35001593A (Indiana) | Primary |
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