Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathryn Fanning

Individual provider Obstetrics & Gynecology Physician · NPI 1629573167

Kathryn Fanning is an Obstetrics/Gynecology in Miami, Florida. Graduated from State University of New York at Stony Brook, School of Medicine in 2018, 8 years ago. Practices with University of Miami, a 2,303-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
8
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
FL
In the registry since
2018
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Practice location Address checks out

1611 NW 12th Ave
Miami, FL 33136-1005
Phone: (315) 440-7060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence ME156904 (FL)

Record details

NPI number1629573167
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 27, 2018
Last updated in NPPESAugust 24, 2022
Certification dateJuly 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice University Of Miami — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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