Search › Missouri › 235Z00000X
Kelly Fain
NPI 1467711036 · on the registry since 2012
Practice
- Address
- 105 Sail Port Ct
Wildwood, MO 63040 - Phone
- (636) 273-5890
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-05-16
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 Missouri