Individual
KATHRYN FANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(315) 440-7060
Mailing address
6445 NE 7TH AVE APT 325S, MIAMI, FL 33138-6481
(315) 440-7060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME156904
FL
Other
Enumeration date
03/27/2018
Last updated
08/24/2022
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