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NPI Code Detail

MEDICARE: PATRICIA A FAIN MD

MEDICARE: PATRICIA A FAIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician38610KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679578892
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA A FAIN MD
Provider Business Mailing Address
First Line : 1010 MAIN ST S
Second Line :
City : MC KEE
State : KY
Zip : 40447-7089
Country : US
Telephone Number : 606-287-7104
Fax Number : 606-287-4409
Provider Business Practice Location Address
First Line : 104 LEGACY DR
Second Line :
City : BEREA
State : KY
Zip : 40403-9594
Country : US
Telephone Number : 859-986-2323
Fax Number : 859-986-7728
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 02/21/2014

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Directions to “ PATRICIA A FAIN MD” Practice Location

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