Fogleman, Kelly A
Fogleman, Kelly A is an individual health care provider with primary practice located at 1908 Lendew St , Greensboro NC 27408-7007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Fogleman, Kelly A can be contacted via phone (336) 273-2835.Contact Information
Primary practice address
1908 Lendew St
Greensboro NC 27408-7007
Phone: (336) 273-2835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 2008-00429 | North Carolina |
Profile Details
| NPI number | 1346407137 |
|---|---|
| LBN Legal business name | Fogleman, Kelly A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2008 |
| Last updated | Jun 22nd, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346407137 | NPPES |
| North Carolina | MEDICAID | 5910470 |
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