Fan, Kaili
Fan, Kaili is an individual health care provider with primary practice located at 33 W Rahn Rd , Dayton OH 45429-2219. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Fan, Kaili can be contacted via phone (937) 433-8990.Contact Information
Primary practice address
33 W Rahn Rd
Dayton OH 45429-2219
Phone: (937) 433-8990
Fax: (937) 433-8691
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 112063 | Missouri |
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 35086851 | Ohio |
Profile Details
| NPI number | 1396737094 |
|---|---|
| LBN Legal business name | Fan, Kaili |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Sep 4th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396737094 | NPPES |
| Ohio | MEDICAID | 2581246 |
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