Individual
KELLY FOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1141 OPAL CT, HAGERSTOWN, MD 21740-5976
(301) 791-6666
Mailing address
14555 FAIRVIEW HILL LN, CLEAR SPRING, MD 21722-1249
(301) 748-7341
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R169068
MD
Other
Enumeration date
02/19/2024
Last updated
03/17/2024
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