Healthcare Provider Details

I. General information

NPI: 1821624065
Provider Name (Legal Business Name): KELLY FOSTER POSEY CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2020
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 LANGFORD DR BLDG 100
WATKINSVILLE GA
30677-7298
US

IV. Provider business mailing address

1101 LAUREL SPRINGS CT
WATKINSVILLE GA
30677-7553
US

V. Phone/Fax

Practice location:
  • Phone: 706-548-1216
  • Fax:
Mailing address:
  • Phone: 706-308-8075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN265335
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN265335
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: