Doctor Name: | KAMI LYN FOX |
NPI Number: | 1760430490 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | NP-08822 |
Business Practice Address: | 1010 Hager St St Marys, OH - 458852421 |
Business Phone Number: | 4193942610 |
Business Fax Number: | 4193946605 |
Mailing Address: | 1010 Hager St, ST MARYS |
State: | OH |
Postal Code: | 458852421 |
Phone Number: | 4193942610 |
Fax Number: | 4193946605 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | NP-08822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |