person
Kristopher Zephinar Fannin, MD
Family Medicine Physician in Louisville, Kentucky
NPI 1477795920

Kristopher Zephinar Fannin is a Family Medicine Physician based in Chicago, KY. Kristopher Zephinar Fannin practices in Louisville, KY and has the professional credentials of MD. The NPI Number for Kristopher Zephinar Fannin is 1477795920 and holds a License No. R2574 (Kentucky).

The current practice location address for Kristopher Zephinar Fannin is 3101 Poplar Level Rd Ste 101, Louisville, KY and can be reached out via phone at 502-636-7444 and via fax at 502-636-7112.

Location: 3101 Poplar Level Rd Ste 101, Louisville, KY, 60677-6351
person
Provider Profile Details
NPI Number
1477795920
Provider Name
Kristopher Zephinar Fannin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3101 Poplar Level Rd Ste 101, Louisville, KY, 60677-6351
Phone Number
502-636-7444
Fax Number
502-636-7112
Provider Enumeration Date
03/30/2009
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7100138510 05 KY
201107020 05 IN
institution
Provider Business Practice Location Address Details
Address
3101 Poplar Level Rd Ste 101
City
State
Zip
40213-1076
Phone Number
502-636-7444
Fax Number
502-636-7112
person
Provider Business Mailing Address Details
Address
3101 Poplar Level Rd Ste 101
City
State
Zip
40213-1076
Phone Number
502-636-7444
Fax Number
502-636-7112
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
()
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
R2574 (Kentucky)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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