Provider Demographics
NPI:1992576482
Name:FAIR, KARA
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:FAIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:854 CLAUDE SCOTT RD
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NC
Mailing Address - Zip Code:28398-9503
Mailing Address - Country:US
Mailing Address - Phone:919-824-3299
Mailing Address - Fax:
Practice Address - Street 1:854 CLAUDE SCOTT RD
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NC
Practice Address - Zip Code:28398-9503
Practice Address - Country:US
Practice Address - Phone:919-824-3299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-12
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider