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Individual

DR. KEVIN ANTHONY FAJARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, MPH, MTMH

Contact information

Practice address
2771 HEMLOCK ST STE 100, BREMERTON, WA 98310-2689
(360) 360-2763
(360) 707-7808
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD61301063
WA
207N00000X
Dermatology Physician
ME142177
FL
2083P0901X
Public Health & General Preventive Medicine Physician
01061083A
IN
208D00000X
General Practice Physician
0061102
CO

Other

Enumeration date
02/03/2007
Last updated
09/18/2025
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