Individual
DR. KAILI FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691
Mailing address
33 W RAHN RD, DAYTON, OH 45429-2219
(937) 433-8990
(937) 433-8691
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
112063
MO
207RI0200X
Infectious Disease Physician
Primary
35086851
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2581246
—
OH
Enumeration date
08/18/2005
Last updated
09/04/2007
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