Kelly C Fagundes (NPI# 1144337536, PAC ID# 2264792704) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
Nation Provider ID (NPI) | 1144337536 |
PAC ID by PECOS | 2264792704 |
Professional Enrollment ID | I20180201001889 |
Full Name | Kelly C Fagundes |
Address |
8499 St Hwy 42 Fish Creek WI 54212-9419 |
Phone Number | 9204214600 |
Gender | F |
Graduation Year | 2004 |
Primary Specialty | PHYSICAL THERAPY |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
8499 St Hwy 42, Fish Creek, WI 54212-9419 | 9204214600 | |
10583 Country Walk Dr, Sister Bay, WI 54234-9192 | 9204214600 |
Street Address |
8499 ST HWY 42 |
City | FISH CREEK |
State | WI |
Zip | 54212-9419 |
Name | Specialty | Organization | Address |
---|---|---|---|
Tucker A Emerson | Chiropractic | Emerson Chiropractic Wellness Center LLC | 8499 St Hwy 42, Fish Creek, WI 54212-9419 |
Elizabeth A Emerson | Chiropractic | Emerson Chiropractic Wellness Center LLC | 8499 St Hwy 42, Fish Creek, WI 54212-9419 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard L Hecker | Podiatry | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
Callie A Krauel | Clinical Social Worker | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
Joseph J Rebhan | Family Medicine | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
Holly A Swain | Physician Assistant | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
Dorene E Dempster | Obstetrics/gynecology | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
Rory M Johnson | Family Medicine | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
Anne Elizabeth Jordan | Family Medicine | Door County Memorial Hospital | 3711 State Hwy 42, Fish Creek, WI 54212-9630 |
City | FISH CREEK |
Zip Code | 54212 |
Specialty | PHYSICAL THERAPY |
City + Specialty | FISH CREEK + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Kelly C Fagundes.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.