Kelly Fairman

NPI 1417097908 · on the registry since 2007

Practice

Address: 5720 Fayetteville Rd
Suite 211
Durham, NC 27713
Phone: (919) 484-9931
Fax: (919) 484-0579
Organisation at this address: Modern Change Pllc
Fields Family Psychiatry
Insideout Body Therapies, Llc
Youth Development Corporation Of America
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 15

Registry record

Primary taxonomy: 101YP2500X
101YP2500X
Licence states on file: NC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina