Search › Ohio › 171M00000X
Kelly Fanger
NPI 1538053863 · on the registry since 2025
Practice
- Address
- 3966 Warrensville Center Rd
Beachwood, OH 44122 - Phone
- (440) 340-5086
- Fax
- (440) 340-5035
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 104100000X
- Licence states on file
- OH, NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-08-18
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 Ohio