Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kids Healthcare PC

Organization Pediatrics Physician · NPI 1821459413

Kids Healthcare PC is a Pediatrics Physician in Fort Wayne, Indiana. Licensed in Indiana. Registered with an NPI since 2016.

Licensed in
IN
In the registry since
2016
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2510 E Dupont Rd Ste 238
Fort Wayne, IN 46825-1600
Phone: (855) 200-7337
Fax: (888) 828-8197
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01044949 (IN)

Record details

NPI number1821459413
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Tallo — Owner · (855) 200-7337
NPI enumeratedMarch 10, 2016
Last updated in NPPESMarch 10, 2016
Mailing address2510 E Dupont Rd, Suite 238, Fort Wayne, IN 46825-1600

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