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Individual
KELLY HOLLIDAY FOSTER
Active
Individual
KELLY HOLLIDAY FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A107689
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1076890
—
CA
Enumeration date
11/06/2008
Last updated
11/01/2011
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