Individual
DR. KEITH FOSTER SHUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
101 E MAIN ST, EPHRATA, PA 17522
(717) 738-2488
(717) 721-9088
Mailing address
101 E MAIN ST, PO BOX 699, EPHRATA, PA 17522
(717) 738-2488
(717) 721-9088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000476
PA
Other
Enumeration date
03/16/2006
Last updated
06/02/2008
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