Fakes, Kristen Conway

Fakes, Kristen Conway is an sole proprietor health care provider with primary practice located at 1104 E Grace St , Rensselaer IN 47978-3211. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Fakes, Kristen Conway can be contacted via phone (219) 866-5141.

Contact Information

Primary practice address
1104 E Grace St Rensselaer IN 47978-3211
Phone: (219) 866-5141
Fax: (218) 866-2070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28240075A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 71014561A Indiana

Profile Details

NPI number 1578349965
LBN Legal business name Fakes, Kristen Conway
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2023
Last updated Dec 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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