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Kevin Fanning, PT, DPT

NPI 1285473421 · on the registry since 2024

Practice

Address
15160 Foliage Ave Ste 170
Apple Valley, MN 55124
Phone
(952) 683-1745
Fax
(952) 683-1746
Organisation at this address
Carousel Pediatric Dentistry Pllc
Advanced Eyecare Apple Valley Inc.
Modern Care Endodontics Of Apple Valley
Inferred from a shared address, not stated in the registry.
Clinicians at this address
19

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota