KELLY ANNE FAGAN

ASHEVILLE, NC
NPI1508928920
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC  229768)
Additional Taxonomies363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  F400995-1)
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NY  F381648-1)
Enumeration Date2006-12-14
Last Update Date2014-11-14
Business Address
-- KELLY ANNE FAGAN NPP
90 ASHELAND AVE
ASHEVILLE, NC 28801-4021
Phone number: 828-254-2700
Mailing Address
-- KELLY ANNE FAGAN NPP
200 OLDE EASTWOOD VILLAGE BLVD APARTMENT 213
ASHEVILLE, NC 28803-1680
Phone number: 585-259-5272