Graduated: 2011
NPI: 1043592033
Practice Locations (2)
KINGSTON CARE PARTNERS, LLC
1010 W WASHINGTON CTR, KINGSTON CARE CENTER OF FORT WAYNA
FORT WAYNE, IN 468254155
2604892552
TRILOGY NP, LLC
1010 W WASHINGTON CTR RD
FORT WAYNE, IN 468254155
2604892552
Source: CMS National Downloadable File, September 2026.