Individual provider · Type 1 NPI

Kelly Marie Van Fossen, DO

Surgery Physician · Fayetteville, NC

NPI number 1396957429 Active

Practice location

4140 Ferncreek Dr Ste 601
Fayetteville, NC 28314-2569

Fax (910) 615-9618

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X2009-00374 (NC)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1396957429

Kelly Marie Van Fossen, DO's National Provider Identifier is 1396957429, issued on May 3, 2007. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Fayetteville, NC. The record was last updated on Apr 17, 2026.