KELLY FAIRBAIRN

VENTURA, CA
NPI1427434174
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: CA  20A15189)
Enumeration Date2015-08-05
Last Update Date2023-09-13
Business Address
KELLY FAIRBAIRN DO
147 N BRENT ST
VENTURA, CA 93003
Phone number: 805-652-5672
Mailing Address
KELLY FAIRBAIRN DO
101 THE CITY DR S
ORANGE, CA 92868-3201
Phone number: