Individual
KRISTA FANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
545 S 2ND ST, LOUISVILLE, KY 40202-1801
(502) 572-2608
Mailing address
6200 W PAGES LN, LOUISVILLE, KY 40258-2066
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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