Foster, Kelley Foster

Foster, Kelley Foster is an individual health care provider with primary practice located at 350 Steeles Rd Ste 1, Bristol TN 37620. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Foster, Kelley Foster can be contacted via phone (423) 844-6600.

Contact Information

Primary practice address
350 Steeles Rd Ste 1 Bristol TN 37620
Phone: (423) 844-6600
Fax: (423) 968-1255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2266 Tennessee

Profile Details

NPI number 1740524180
LBN Legal business name Foster, Kelley Foster
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 26th, 2012
Last updated Oct 24th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740524180 NPPES
Kentucky MEDICAID 7100251670
Kentucky MEDICAID Q000294

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