Individual provider · Type 1 NPI
Kelly N. Fawcett, NP
Family Nurse Practitioner · Fort Wayne, IN
NPI number
1417155656
Active
Practice location
9604 Coldwater Rd Ste 207
Fort Wayne, IN 46825-2096
Fax (260) 383-8368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 71002401A (IN) |
Family Nurse Practitioner: Definition to come...
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About NPI 1417155656
Kelly N. Fawcett, NP's National Provider Identifier is 1417155656, issued on Jul 10, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 18, 2025.