Individual provider · NPI-1

Krista Fanelli

Health Educator · Louisville, KY

NPI number1932689841
StatusActive
Last updated in NPPESAug 20, 2018

Details

NPI
1932689841
Entity type
Individual (NPI-1)
Name
Krista Fanelli
Sex
Female
Sole proprietor
No
Enumeration date
Aug 20, 2018
Last updated
Aug 20, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174H00000X Health Educator––Yes

Practice location

545 S 2nd St
Louisville, KY 40202-1801

Phone 502-572-2608

Mailing address

6200 W Pages Ln
Louisville, KY 40258-2066

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