Individual
KRISTEN M FANNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
801 SW FAIRLAWN RD, TOPEKA, KS 66606-2338
(785) 228-1700
(785) 273-0716
Mailing address
801 SW FAIRLAWN RD, TOPEKA, KS 66606-2338
(785) 228-1700
(785) 273-0716
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103546
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-03546
STATE LICENSE
KS
Enumeration date
07/15/2008
Last updated
05/26/2010
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