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

Mr. Joseph Kenneth Fairley III, CP

Individual provider Prosthetic/Orthotic Supplier · NPI 1689389785

Mr. Joseph Kenneth Fairley III, CP is a Prosthetic/Orthotic Supplier in Saratoga Springs, New York. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

480 Broadway Ste LL14
Saratoga Springs, NY 12866-6727
Phone: (518) 430-2034
Show map & directions

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

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence CP004468

Record details

NPI number1689389785
Entity typeIndividual (Type 1)
GenderMale
Credentials CP
Sole proprietorYes
NPI enumeratedJanuary 23, 2023
Last updated in NPPESJanuary 23, 2023
Certification dateJanuary 23, 2023

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