Most Relevant Information
Provider Data
| NPI Number: | 1003348095 |
| Provider Name: | CHELSEA FAIR |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 2021022625 |
Most Important Dates
| Enumeration Date: | 03/30/2017 |
| Last Updated: | 10/26/2022 |
Provider Practice Location
11725 W 112TH ST
OVERLAND PARK
KS
662102761
Practice Location Phone/Fax
| Phone: | 9137874008 |
| Fax: |
Provider Mailing Location
11725 W 112TH ST
OVERLAND PARK
KS
662102761
Provider Mailing Phone/Fax
| Phone: | 9134695579 |
| Fax: |
Suggested EMR
Family Practice EMR