KELLY OUTMAN RN
NPI 1538868617
Registered Nurse - Home Health in Fort Wayne, IN
Active since February 28, 2023
About Kelly Outman Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY OUTMAN RN (NPI 1538868617) is an individual home health provider in Fort Wayne, Indiana, licensed in Indiana (2814829A) and active in the NPI registry since February 2023.
NPPES Registry Identity
NPI1538868617
Entity TypeIndividualFemale
Primary Taxonomy163WH0200X
Provider Legal NameKELLY OUTMANCredential: RN
Location Address2121 LAKE AVEFort Wayne, IN 46805-5100
Mailing Address2121 Lake AveFort Wayne, IN 46805-5100 · (602) 426-5431
Phone(260) 413-3383
Sole ProprietorNo
Enumeration DateFebruary 28, 2023
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1538868617 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Home HealthNursing Service Providers
Taxonomy Code163WH0200X
License✔ Licensed in IN · 2814829A
2121 LAKE AVE, Fort Wayne, IN 46805
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Internal Medicine (Cardiovascular Disease)
2121 LAKE AVE
FORT WAYNE, IN 46805
FORT WAYNE, IN 46805
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538868617, enumerated as an "individual" on February 28, 2023.
The provider is located at 2121 LAKE AVE FORT WAYNE, IN 46805 and the phone number is (260) 413-3383.
Registered Nurse with taxonomy code 163WH0200X and a focus in Home Health.
