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Contact Information

R DAVID FANT MD PSC
1407 NORTH RACE ST
GLASGOW, KY42141
 Phone: 270-651-7736
 Fax: 270-651-9552
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for R DAVID FANT MD PSC · (Female)

NPI Number 1396915468
Status Active
Credentials
Entity Individual
Enumeration date 03/05/2008
Last updated 03/05/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 64191117
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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