KELLY FOOTEN FNP-C NPI 1194580233

NPI Information

NPI: 1194580233
Provider Name: KELLY FOOTEN, FNP-C
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
1141 OPAL CT
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 791-6666
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Kelly Footen, FNP-C is a pediatrics nurse practitioner in Hagerstown, MD. Kelly Footen, FNP-C NPI is 1194580233. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1141 OPAL CT
HAGERSTOWN, MD
ZIP 21740-976
Phone: (301) 791-6666

The enumeration date for this NPI number is 2/19/2024 and was last updated on 3/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	R169068	MARYLAND	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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