Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 036134544 | IL |
N | 111NI0900X | Internist | 036134544 | IL |
N | 207RH0002X | Hospice and Palliative Medicine | 036134544 | IL |
Y | 207RX0202X | Medical Oncology | 036134544 | IL |
NPI | 1346534674 |
---|---|
Provider Name | Dr. Kelly Danielle Foster |
First Address | West Palm Beach, FL 33405-1233 |
Second Address | Palm Springs, FL 33461-2171 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/06/2011 |
Last Update Date | 27/09/2021 |