Individual
KELSIE A FAHR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
4285 N RANCHO DR STE 130, LAS VEGAS, NV 89130-3455
(702) 385-5331
(702) 385-5678
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9056
(419) 695-8010
(416) 695-0004
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/04/2012
Last updated
07/19/2021
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