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Kersey Fadduol
NPI 1730838400 · on the registry since 2022
Practice
- Address
- 1419 Ellsmere Ave
Los Angeles, CA 90019 - Phone
- (805) 886-3148
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-22
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 California