Foster, Kelli Marie

Foster, Kelli Marie is an individual health care provider with primary practice located at 1055 Highway 49 S Ste B , Richland MS 39218-7517. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Foster, Kelli Marie can be contacted via phone (601) 829-6151.

Contact Information

Primary practice address
1055 Highway 49 S Ste B Richland MS 39218-7517
Fax: (769) 241-0044
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 903649 Mississippi

Profile Details

NPI number 1346887353
LBN Legal business name Foster, Kelli Marie
Credentials APRN NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2019
Last updated Sep 23rd, 2021 - about 5 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 1346887353 NPPES
Mississippi MEDICAID 09935368

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