Individual
DR. KELLY MARIE VAN FOSSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4140 FERNCREEK DR STE 601, FAYETTEVILLE, NC 28314-2569
(910) 485-3880
(910) 615-9618
Mailing address
4140 FERNCREEK DR STE 601, FAYETTEVILLE, NC 28314-2569
(910) 485-3880
(910) 485-5341
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2009-00374
NC
Other
Enumeration date
05/03/2007
Last updated
04/17/2026
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