Individual
KRISTEN FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS
Contact information
Practice address
4235 SECOR RD BLDG 2, TOLEDO, OH 43623-4231
(194) 795-5604
(419) 473-2065
Mailing address
4235 SECOR RD BLDG 2, TOLEDO, OH 43623-4299
(419) 479-5560
(419) 473-2065
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
50.006035RX
OH
Other
Enumeration date
08/19/2019
Last updated
03/19/2020
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