KATHLEEN M FAGAN MD NPI 1528005543

NPI Information

Kathleen M Fagan, MD is a preventive medicine/occupational environmental medicine preventive medicine in Cleveland, OH. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. Kathleen M Fagan, MD NPI is 1528005543. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11100 EUCLID AVENUE
CLEVELAND, OH
ZIP 44106
Phone: (216) 844-7700
Fax: (216) 286-6299

The enumeration date for this NPI number is 5/31/2006 and was last updated on 6/12/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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