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

Kimberly Adelle Fanning

Individual provider Occupational Therapist · NPI 1508443797

Kimberly Adelle Fanning is an Occupational Therapist in Louisville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2021.

Licensed in
KY
In the registry since
2021

Practice location Address checks out

11840 Commonwealth Dr
Louisville, KY 40299-2309
Phone: (502) 633-1007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X (KY)

Record details

NPI number1508443797
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2021
Last updated in NPPESMarch 25, 2021
Certification dateMarch 25, 2021

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