NPI 1528005543

Kathleen M Fagan, MD

Practitioner Preventive Medicine/Occupational Environmental Medicine Physician Cleveland, OH

Practice location

Address: 11100 Euclid Avenue, Cleveland, OH 44106
Phone: (216) 844-7700
Fax: (216) 286-6299
Mailing address: 3605 Warrensville Ctr Rd Msc9152, Shaker Hts, OH 44122

Registered specialties

Preventive Medicine/Occupational Environmental Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0500X Licence 35051175 (OH)

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Registry record

NPI: 1528005543
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2006
Record last updated: 12 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.