Individual
DR. KENZIE R DANIELS-FASANO
Active
Individual
DR. KENZIE R DANIELS-FASANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
326371
LA
207R00000X
Internal Medicine Physician
57.029648
OH
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
2022-02068
NC
208000000X
Pediatrics Physician
57.029648
OH
Other
Enumeration date
03/27/2017
Last updated
12/16/2024
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