Mergy, Kelly Fogarty

Mergy, Kelly Fogarty is an individual health care provider with primary practice located at 1235 Ramsey St , Fayetteville NC 28301-4401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mergy, Kelly Fogarty can be contacted via phone (910) 433-3704.

Contact Information

Primary practice address
1235 Ramsey St Fayetteville NC 28301-4401
Phone: (910) 433-3704
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 940034 North Carolina

Profile Details

NPI number 1306846191
LBN Legal business name Mergy, Kelly Fogarty
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Nov 2nd, 2017 - about 8 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 1306846191 NPPES
North Carolina MEDICAID 7000948

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