Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kelly Anne Fonville, MSOTRIL

Individual provider Pediatric Occupational Therapist · NPI 1063484889

Mrs. Kelly Anne Fonville, MSOTRIL is a Pediatric Occupational Therapist in Conover, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2006

Practice location Address checks out

3301 Overbrook Dr
Conover, NC 28613-8227
Phone: (828) 256-9488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 5956 (NC)

Record details

NPI number1063484889
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOTRIL
Sole proprietorYes
NPI enumeratedFebruary 6, 2006
Last updated in NPPESJuly 25, 2007

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