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Individual
MRS. KELLIE J FOXWORTH
Active
Individual
MRS. KELLIE J FOXWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARPN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
22559
SC
363L00000X
Nurse Practitioner
5020265
NC
363L00000X
Nurse Practitioner
8142
CT
Other
Enumeration date
04/29/2019
Last updated
09/03/2026
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