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Ms. Katherine Anne Fagan
Prosthetics Case Management in State College, Pennsylvania
NPI 1750903431

Katherine Anne Fagan is a Prosthetics Case Management based in State College, PA and is specialized in Prosthetics Case Management. Katherine Anne Fagan practices in State College, PA. The NPI Number for Katherine Anne Fagan is 1750903431 and holds a License No. (Pennsylvania).

The current practice location address for Katherine Anne Fagan is 2428 Setter Run Ln, State College, PA and can be reached out via phone at 814-954-0143.

Location: 2428 Setter Run Ln, State College, PA, 16801-2577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750903431
Provider Name
Katherine Anne Fagan
Credential
Provider Entity Type
Individual
Gender
Female
Address
2428 Setter Run Ln, State College, PA, 16801-2577
Phone Number
814-954-0143
Fax Number
Provider Enumeration Date
05/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2428 Setter Run Ln
City
State College
State
Pennsylvania
Zip
16801-2577
Phone Number
814-954-0143
Fax Number
person
Provider Business Mailing Address Details
Address
2428 Setter Run Ln
City
State College
State
Pennsylvania
Zip
16801-2577
Phone Number
814-954-0143
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
()
Definition
Definition to come...
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