Kyle Fanning, MD

NPI #1184668998 in Moore, Oklahoma

Provider Information

NPI Number: 1184668998
Entity Type: Individual
Name: Kyle Fanning, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jun 15, 2006
Last Updated: Mar 19, 2019

Practice Location

Address: 1401 SW 34TH ST STE 200
City: Moore
State: Oklahoma
ZIP Code: 73160-3059
Phone: (405) 793-1188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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