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Individual

DR. SIMONE A FEARON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1532 LONE OAK RD STE 415, PADUCAH, KY 42003-7943
(270) 442-0103
Mailing address
2200 JEFFERSON AVE FL 5, TOLEDO, OH 43604-7102

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
242790
NY
207RC0000X
Cardiovascular Disease Physician
55217
WI
207RC0000X
Cardiovascular Disease Physician
Primary
55591
KY

Other

Enumeration date
08/08/2007
Last updated
06/15/2021
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