NPI 1003121120
Kelli Nicole Fogarty, RN
Practice location
- Address
- 2087 Hidden Ln, Leonard, MI 48367-3225
- Phone
- (734) 624-9938
- Mailing address
- 765 Kestrel Ridge Dr, South Lyon, MI 48178-2027
Registered specialties
Home Health Registered Nurse
Primary
Registry record
- NPI
- 1003121120
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Aug 2010
- Record last updated
- 31 Aug 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.