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

Individual provider Multi-Specialty Clinic/Center · NPI 1619697133

Delaney Fullenkamp is a Multi-Specialty Clinic/Center in Mishawaka, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2022
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Practice location Address checks out

1316 W Dragoon Trl
Mishawaka, IN 46544-4713
Phone: (219) 608-2190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X · Licence 521984 (IN)

Record details

NPI number1619697133
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 2, 2022
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026
Mailing address235 Ironworks Ave Apt 447, Mishawaka, IN 46544-2076

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