Footen, Kelly

Footen, Kelly is an sole proprietor health care provider with primary practice located at 1141 Opal Ct , Hagerstown MD 21740-5976. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Footen, Kelly can be contacted via phone (301) 791-6666.

Contact Information

Primary practice address
1141 Opal Ct Hagerstown MD 21740-5976
Phone: (301) 791-6666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R169068 Maryland

Profile Details

NPI number 1194580233
LBN Legal business name Footen, Kelly
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 19th, 2024
Last updated Mar 17th, 2024 - about last year

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.

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