Kelsie M Fannin

NPI #1669221008 in Shelby, Ohio

Provider Information

NPI Number: 1669221008
Entity Type: Individual
Name: Kelsie M Fannin
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: May 17, 2024
Last Updated: Apr 10, 2025

Practice Location

Address: 79 N 3RD ST
City: Shelby
State: Ohio
ZIP Code: 44875-1051
Phone: (937) 779-2301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-emergency Medical Transport (VAN)	343900000X
Private Vehicle	347C00000X
Homemaker	376J00000X	Primary

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