MARYSSA FAIRBANKS, PA

Physician Assistant

Active Individual
NPI: 1891653804

Practice Address

1739 E BEVERLY AVE STE 102
Kingman, AZ 86409

Phone: (928) 681-8693

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1891653804 is the National Provider Identifier for MARYSSA FAIRBANKS, PA, a Physician Assistant provider located in Kingman, AZ. This NPI was enumerated on January 10, 2026.
MARYSSA FAIRBANKS, PA practices at 1739 E BEVERLY AVE STE 102, Kingman, AZ 86409.

Quick Facts

NPI
1891653804
Type
Individual
Enumerated
Jan 10, 2026
Last Updated
Jan 10, 2026

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