Individual
BRITTANY ANN NICOLE FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
830 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 789-8749
(606) 789-2060
Mailing address
830 S MAYO TRL, PAINTSVILLE, KY 41240-1384
(606) 789-8749
(606) 789-2060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04366
KY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
04366
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100550950
—
KY
Enumeration date
05/10/2016
Last updated
06/05/2020
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