Individual provider · NPI-1

Kendall Michelle Anders, CAA

Anesthesiologist Assistant · Fort Wayne, IN

NPI number1730787698
StatusActive
Last updated in NPPESMar 11, 2024

Details

NPI
1730787698
Entity type
Individual (NPI-1)
Name
Kendall Michelle Anders
Credential
CAA
Sex
Female
Sole proprietor
No
Enumeration date
Oct 13, 2020
Certification date
Mar 11, 2024
Last updated
Mar 11, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367H00000X Anesthesiologist Assistant75000073AINYes

Other names

  • Kendall Michelle Redd (Former Name)

Practice location

11141 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1714

Phone 260-425-6030

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Other practice locations

3810 New Vision Dr
Fort Wayne, IN 46845-1708

Phone 260-425-6030 · Fax 260-425-6028

2401 W University Ave
Muncie, IN 47303-3428

Phone 765-747-4206 · Fax 765-281-6671

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Anesthesiologist Assistant providers in Fort Wayne, IN