Individual
KELLI MARIE FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN NP-C
Contact information
Practice address
1055 HIGHWAY 49 S STE B, RICHLAND, MS 39218-7517
(601) 829-6151
(769) 241-0044
Mailing address
515 BELLE OAK PL, BRANDON, MS 39042-8111
(601) 397-0947
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
903649
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09935368
—
MS
Enumeration date
12/09/2019
Last updated
09/23/2021
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