Individual
DR. KAREN A. FAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
28767
AL
207RP1001X
Pulmonary Disease Physician
33695
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01336957
—
CO
05
—
06135261
—
MS
01
—
51547630
BCBS - 575 STANTON RD
AL
01
—
51547639
BCBS-2451 FILLINGIM ST
AL
01
—
51547640
BCBS-3301 KNOLLWOOD DR
AL
Enumeration date
10/13/2006
Last updated
08/06/2024
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