Individual
DR. JENNIFER M FATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1221 S. WATER STREET, SUITE A, KENT, OH 44240
(330) 474-0500
(330) 474-0501
Mailing address
1221 S WATER STREET, SUITE A, KENT, OH 44240-3843
(330) 474-0500
(330) 474-0501
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003277F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427082551
NPI
—
05
—
2361484
—
OH
01
—
36003277F
OHIO
OH
Enumeration date
07/11/2006
Last updated
10/01/2011
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