Van Fossen, Kelly Marie
Van Fossen, Kelly Marie is an sole proprietor health care provider with primary practice located at 4140 Ferncreek Drive Suite 601, Fayetteville NC 28314-2569. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Van Fossen, Kelly Marie can be contacted via phone (910) 485-3880.Contact Information
Primary practice address
4140 Ferncreek Drive Suite 601
Fayetteville NC 28314-2569
Phone: (910) 485-3880
Fax: (910) 485-5341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2009-00374 | North Carolina |
Profile Details
| NPI number | 1396957429 |
|---|---|
| LBN Legal business name | Van Fossen, Kelly Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jun 3rd, 2014 - about 11 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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