Individual
KELLY A FOGLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1908 LENDEW ST, GREENSBORO, NC 27408-7007
(336) 273-2835
Mailing address
PO BOX 9577, GREENSBORO, NC 27429-0577
(336) 273-2835
(336) 273-2835
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
2008-00429
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5910470
—
NC
Enumeration date
05/20/2008
Last updated
06/22/2011
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