Search › Pennsylvania › 2255R0406X
Mckenzie Fagan
NPI 1942842398 · on the registry since 2019
Practice
- Address
- 105 Seville St
Philadelphia, PA 19127 - Phone
- (724) 372-9269
Registry record
- Primary taxonomy
- 2255R0406X
2255R0406X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-10-16
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 Pennsylvania