Individual
KELSIE M FANNIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 N 3RD ST, SHELBY, OH 44875-1051
(937) 779-2301
Mailing address
79 N 3RD ST, SHELBY, OH 44875-1051
(937) 779-2301
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
04/10/2025
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