Individual
DANIEL KEVIN FOHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 COLLEGE HL, CANTON, MO 63435-1257
(573) 288-6000
Mailing address
3101 ST. MARY'S AVENUE, HANNIBAL, MO 63401
(573) 822-2995
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KFVAN3606262
BLUECROSS BLUESHIELD
—
Enumeration date
02/28/2018
Last updated
02/28/2018
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