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1760913222
KELLY FAIRCHILD
MILWAUKEE, WI
NPI
1760913222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: WI 69967-21)
Enumeration Date
2017-03-25
Last Update Date
2020-08-24
Business Address
KELLY FAIRCHILD DO
945 N 12TH ST
MILWAUKEE, WI 53233-1305
Phone number: 414-219-5725
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Mailing Address
KELLY FAIRCHILD DO
1348 PAULS DR
GREENFIELD, IN 46140-1130
Phone number:
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