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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

NPI # 1396915468
LBN Legal business name R DAVID FANT MD PSC
Authorized official R FANT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/05/2008
Last updated 03/05/2008 - About 18 years ago
Identifiers
KY Medicaid 64191117
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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