Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOSEPH KENNETH FAIRLEY III, CP
Active Sole ProprietorMR. JOSEPH KENNETH FAIRLEY III, CP is a Prosthetic/Orthotic Supplier healthcare provider located in SARATOGA SPRINGS, New York. NPI 1689389785 is currently active in the NPPES registry. Verify at CMS.
Prosthetic/Orthotic Supplier · SARATOGA SPRINGS, NY
Registration Details
- NPI Number
- 1689389785
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 23, 2023 (3.581967611559 yrs)
- Last Updated
- Jan 23, 2023
- License
-
CP004468
- Sole Proprietor
- Yes
Practice Information
- Address
-
480 BROADWAY STE LL14SARATOGA SPRINGS, NY, 128666727Browse NY providers · Browse ZIP 12866
- Phone
- 5184302034
- Primary Specialty
-
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.