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:
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Health care specialties

SpecialtyCodeLicense #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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