Kelly Marie Van Fossen in Fayetteville - Surgery
Kelly Marie Van Fossen - NPI 1396957429
Kelly Marie Van Fossen is a Surgery in Fayetteville, North Carolina. Kelly Marie Van Fossen practices all healthcare services and medical treatments related to Surgery. The NPI Number for Kelly Marie Van Fossen is 1396957429. The last update date is 2014-06-03.
Kelly Marie Van Fossen's current location address is 4140 Ferncreek Drive, Fayetteville, North Carolina. You can contact this provider via phone number 9104853880 and fax number 9104855341. The mailing address for Kelly Marie Van Fossen is 4140 Ferncreek Drive, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Marie Van Fossen |
|---|---|
| Address | 4140 Ferncreek Drive, Fayetteville, North Carolina |
| Phone Number | 9104853880 |
| Fax Number | 9104855341 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1396957429 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2014-06-03 |
Provider Mailing Address Detail
| Address | 4140 Ferncreek Drive |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283142569 |
| Phone Number | 9104853880 |
| Fax Number | 9104855341 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 2009-00374 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Post Comment/ Review Below
What is the unique identifier code issued to Kelly Marie Van Fossen by the Centers for Medicare & Medicaid Services?
The Kelly Marie Van Fossen has been assigned the NPI (National Provider Identifier) 1396957429. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kelly Marie Van Fossen?
The Kelly Marie Van Fossen is physically situated at 4140 Ferncreek Drive, in the city of Fayetteville, state of NC, with the postal code 283142569.
What is Kelly Marie Van Fossen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kelly Marie Van Fossen is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date was the 1396957429 assigned to Kelly Marie Van Fossen?
The Kelly Marie Van Fossen was issued its 1396957429 on 2007-05-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kelly Marie Van Fossen most recently updated or revised?
The details related to Kelly Marie Van Fossen, including its address, specialty, and other relevant information, were last updated or revised on 2014-06-03.