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Search › Kentucky › 207Q00000X

Kristopher Fannin, MD

NPI 1477795920 · on the registry since 2009

Practice

Address
3101 Poplar Level Rd Ste 101
Louisville, KY 40213
Phone
(502) 636-7444
Fax
(502) 636-7112
Organisation at this address
Wal-Mart Stores East Lp
Community Medical Associates, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
13

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
390200000X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-03-22

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 Kentucky