DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MRS. KLOIE NUTT DO

MEDICARE: MRS. KLOIE NUTT DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1104760131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KLOIE NUTT DO
Provider Business Mailing Address
First Line : 2200 RANDALLIA DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-4699
Country : US
Telephone Number : 260-373-7765
Fax Number :
Provider Business Practice Location Address
First Line : 2200 RANDALLIA DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46805-4699
Country : US
Telephone Number : 260-373-7765
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2026
Last Update Date : 04/18/2026

Similar Medicare Providers

1679061709 — DR. SEAN RICHARD HOOS PHARMD
Practice Location Address:
2200 RANDALLIA DR
FORT WAYNE, IN
46805-4699
Practice Phone: 260-373-3400
Practice Fax: 260-373-3418
1174117766 — ANTHONY WILSON
Practice Location Address:
2200 RANDALLIA DR
FORT WAYNE, IN
46805-4699
Practice Phone: 260-373-6727
Practice Fax:
1467197319 — MS. MICHELE L KADENKO-MONIRIAN APRN-CNS AGCNS-BC
Practice Location Address:
2200 RANDALLIA DR
FORT WAYNE, IN
46805-4699
Practice Phone: 260-312-5083
Practice Fax:
1023703600 — JACQUOLYNN LEE PLOUGHE BSN, RN, CRRN
Practice Location Address:
2200 RANDALLIA DR
FORT WAYNE, IN
46805-4699
Practice Phone: 260-266-4172
Practice Fax:
1912794926 — ANDREA PATETE DO
Practice Location Address:
2200 RANDALLIA DR
FORT WAYNE, IN
46805-4699
Practice Phone: 260-373-7765
Practice Fax:
1114716958 — ARPITHA VENKATAREDDY MBBS
Practice Location Address:
2200 RANDALLIA DRIVE, PARKVIEW HOSPITAL , DEPARTMENT OF GME
FORT WAYNE, IN
46805-4699
Practice Phone: 260-373-6727
Practice Fax:

Directions to “ MRS. KLOIE NUTT DO” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.