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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLI NICOLE FOGARTY, RN

Active Sole Proprietor

KELLI NICOLE FOGARTY, RN is a Home Health Nurse healthcare provider located in LEONARD, Michigan. NPI 1003121120 is currently active in the NPPES registry. Verify at CMS.

Home Health Nurse · LEONARD, MI

Registration Details

NPI Number
1003121120
Provider Type
Individual
Gender
Female
NPI Issued
Aug 12, 2010 (15.827346614089 yrs)
Last Updated
Aug 31, 2010
License
4704254681 (MI)
Sole Proprietor
Yes

Practice Information

Address
2087 HIDDEN LN
LEONARD, MI, 483673225
Browse MI providers · Browse ZIP 48367
Phone
7346249938
Primary Specialty
Home Health Nurse
163WH0200X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.