Individual
KIERSTEN MARIE FANELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 SE HOSPITAL AVE, STUART, FL 34994-2346
(772) 287-5200
Mailing address
200 SE HOSPITAL AVE # 2346, STUART, FL 34994-2346
(661) 858-3326
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9120745
FL
363AS0400X
Surgical Physician Assistant
Primary
PA9120745
FL
Other
Enumeration date
08/20/2025
Last updated
01/11/2026
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