Provider Demographics
NPI:1598527491
Name:FOERSTER, KELLI (MS, CNS)
Entity Type:Individual
Prefix:
First Name:KELLI
Middle Name:
Last Name:FOERSTER
Suffix:
Gender:F
Credentials:MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 S GRAMERCY PL APT 107
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020-4990
Mailing Address - Country:US
Mailing Address - Phone:303-842-5246
Mailing Address - Fax:
Practice Address - Street 1:519 S GRAMERCY PL APT 107
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020-4990
Practice Address - Country:US
Practice Address - Phone:303-842-5246
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education