Fagan Llc

NPI 1770740482 - Prosthetic/Orthotic Supplier - 335E00000X

NPI Details
NPI 1770740482
Enumeration Date 05/20/2008
Last Updated 01/06/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KIMBERLY M KIMBERLY
Position DOCTOR/OWNER
Phone (205) 879-8206
Fax (205) 879-0675
Practice Location
3125 INDEPENDENCE DR
SUITE 300A
BIRMINGHAM AL, 35209-4159, US
Phone (205) 879-8206
Fax (205) 879-0675
Business Location
3125 INDEPENDENCE DR
SUITE 300A
BIRMINGHAM AL, 35209-4159, US
Phone (205) 879-8206
Fax (205) 879-0675
Toxanomy
Taxonomy Code 335E00000X
License State Alabama
License Number 14105
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According to our database, Fagan Llc NPI is 1770740482, taxonomy code is 335E00000X and license number is 14105, license state is located at Alabama. Fagan Llc physically located at 3125 Independence Dr, Birmingham AL, 35209-4159. NPI Number 1033115704 has the healthcare provider type.

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1770740482 NPI number is provided on an as is basis without warranty of any kind. 1770740482 is maintained by the National Plan & Provider Enumeration System. The contents of Fagan Llc are for informational purposes only.