Individual provider · Type 1 NPI

Shawn Kitzmiller

Medical Physician Assistant · Fort Wayne, IN

NPI number 1306591177 Active

Practice location

5050 N Clinton St
Fort Wayne, IN 46825-5886

Call (260) 484-8551 Map

Mailing address

5052 N Clinton St
Fort Wayne, IN 46825-5822

Other practice locations

  • 11136 Parkview Circle Dr, Fort Wayne, IN 46845-1730 · (260) 484-8551
  • 8202 Glencarin Blvd Ste 300, Fort Wayne, IN 46804-5783 · (260) 484-8551

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1306591177

Shawn Kitzmiller's National Provider Identifier is 1306591177, issued on Feb 19, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Wayne, IN. The record was last updated on May 2, 2024.