Individual
DR. KELLY ANN FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 561-2448
Mailing address
PO BOX 14001, SALEM, OR 97309-5014
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD176652
OR
2086S0102X
Surgical Critical Care Physician
MD176652
OR
Other
Enumeration date
04/27/2010
Last updated
04/30/2025
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