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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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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