Kelli Nicole Fogarty, RN is a
Registered Nurse - Home Health based in Leonard, Michigan. Kelli Nicole Fogarty is licensed to practice in Michigan (license number 4704254681) and her current practice location is
2087 Hidden Ln, Leonard, Michigan. She can be reached at her office (for appointments etc.) via phone at
(734) 624-9938.
NPI number for Kelli Nicole Fogarty is 1003121120 and her current mailing address is 765 Kestrel Ridge Dr, South Lyon, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003121120.
Provider's Profile
Full Name | Kelli Nicole Fogarty |
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Gender | Female |
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Speciality | Registered Nurse - Home Health |
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Location | 2087 Hidden Ln, Leonard, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003121120
- Provider Enumeration Date: 08/12/2010
- Last Update Date: 08/31/2010
Medical Identifiers
Medical identifiers for Kelli Nicole Fogarty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003121120 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WH0200X | Registered Nurse - Home Health | 4704254681 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Nicole Fogarty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kelli Nicole Fogarty, RN 765 Kestrel Ridge Dr, South Lyon, MI 48178-2027 Ph: (734) 624-9938 | Kelli Nicole Fogarty, RN 2087 Hidden Ln, Leonard, MI 48367-3225 Ph: (734) 624-9938 |
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