Individual
KELLY JO FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4200 6TH AVE SE STE 201, LACEY, WA 98503-1042
(360) 489-2659
Mailing address
4200 6TH AVE SE STE 201, LACEY, WA 98503-1042
(360) 489-2659
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60881574
WA
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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