KELCI FAGAN
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1063142537- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 345 N RIVERVIEW ST STE 730, WICHITA, KS, 672034267
- Phone
- (316) 202-2110
Specialties & Taxonomies
Social Worker
Primary
All Addresses
MAILING
1000 N EL PASO DR
DERBY, KS, 670371808