Fosberg, Kelly K.
Fosberg, Kelly K. is an sole proprietor health care provider with primary practice located at 1485 N Turquoise Dr Suite 220, Flagstaff AZ 86001-1398. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fosberg, Kelly K. can be contacted via phone (928) 774-6626.Contact Information
Primary practice address
1485 N Turquoise Dr Suite 220
Flagstaff AZ 86001-1398
Phone: (928) 774-6626
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6966 | Arizona |
Profile Details
| NPI number | 1932135282 |
|---|---|
| LBN Legal business name | Fosberg, Kelly K. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2006 |
| Last updated | May 9th, 2013 - 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.
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