Individual
KEVIN FAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
22331 MISSION BLVD, HAYWARD, CA 94541-3911
(510) 471-5880
Mailing address
22331 MISSION BLVD, HAYWARD, CA 94541-3911
(510) 471-5880
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95029119
CA
363LF0000X
Family Nurse Practitioner
262151
AZ
Other
Enumeration date
10/15/2021
Last updated
04/21/2026
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