DR. KELLY VAN FOSSEN, D.O.

Surgery

Active Individual
NPI: 1396957429

Practice Address

4140 FERNCREEK DRIVE
SUITE 601
Fayetteville, NC 28314

Phone: (910) 485-3880

Specialties

Specialty Code Primary License
Surgery 208600000X Yes 2009-00374 (NC)

Frequently Asked Questions

NPI 1396957429 is the National Provider Identifier for DR. KELLY VAN FOSSEN, D.O., a Surgery provider located in Fayetteville, NC. This NPI was enumerated on May 3, 2007.
DR. KELLY VAN FOSSEN, D.O. practices at 4140 FERNCREEK DRIVE, SUITE 601, Fayetteville, NC 28314.

Quick Facts

NPI
1396957429
Type
Individual
Enumerated
May 3, 2007
Last Updated
Jul 8, 2025

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