DR. Martha Sue Fanning, M.D.

NPI #1073514733 in Overland Park, Kansas

Provider Information

NPI Number: 1073514733
Entity Type: Individual
Name: DR. Martha Sue Fanning, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Aug 3, 2005
Last Updated: Jun 29, 2021

Practice Location

Address: 12300 METCALF AVE
City: Overland Park
State: Kansas
ZIP Code: 66213-1324
Phone: (913) 317-7485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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