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Individual
SANDRA L FOOSHEE
Active
Individual
SANDRA L FOOSHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
PA708
KY
363A00000X
Physician Assistant
Primary
PA708
KY
363AM0700X
Medical Physician Assistant
KY PA # 708
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0647603
MEDICARE # WHILE WITH TEAM HEALTH
KY
05
—
7100024630
—
KY
Enumeration date
02/15/2006
Last updated
11/22/2021
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