Individual
DR. KELLY ANNE FANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1532 SAVANNAH RD, LEWES, DE 19958-0037
(302) 644-2633
(302) 644-9192
Mailing address
PO BOX 37, 1532 SAVANNAH RD, LEWES, DE 19958-0037
(302) 644-2633
(302) 644-9192
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
C1-0003808
DE
208100000X
Physical Medicine & Rehabilitation Physician
Primary
C10003808
DE
Other
Enumeration date
11/11/2008
Last updated
12/16/2008
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