Individual
KELLY MARIE FATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 383-7200
Mailing address
7900 S J STOCK RD, TUCSON, AZ 85746-7012
(520) 383-7200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP012937
PA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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