Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY L. FOURNIER, CPM
Active Sole ProprietorKELLY L. FOURNIER, CPM is a Midwife healthcare provider located in NIXA, Missouri. NPI 1003436411 is currently active in the NPPES registry. Verify at CMS.
Midwife · NIXA, MO
Registration Details
- NPI Number
- 1003436411
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 26, 2020 (6.267585283688 yrs)
- Last Updated
- Apr 26, 2020
- License
-
20020019
- Sole Proprietor
- Yes
Practice Information
- Address
-
105 S SMALLEY STNIXA, MO, 657147829Browse MO providers · Browse ZIP 65714
- Phone
- 9312090771
- Primary Specialty
-
Midwife
176B00000X
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.