Fountain, Pamela Kinder

Fountain, Pamela Kinder is an individual health care provider with primary practice located at 7950 W Jefferson Blvd , Fort Wayne IN 46804-4140. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Nursing Service Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fountain, Pamela Kinder can be contacted via phone (260) 434-7088.

Contact Information

Primary practice address
7950 W Jefferson Blvd Fort Wayne IN 46804-4140
Phone: (260) 434-7088
Fax: (260) 435-7394
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X #71001329A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X #71001329A Indiana
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 28108484A Indiana

Profile Details

NPI number 1194955757
LBN Legal business name Fountain, Pamela Kinder
Credentials MSN, RNC, APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2009
Last updated Mar 11th, 2013 - about 11 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1194955757 NPPES
Indiana MEDICAID 201006320

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