Individual
MS. AMY POLLY FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
131 PRATER DR, GEORGETOWN, KY 40324-8663
(859) 514-0583
Mailing address
131 PRATER DR, GEORGETOWN, KY 40324-8663
(859) 514-0583
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FS01704
EARLY INTERVENTION SYSTEM
KY
Enumeration date
05/29/2007
Last updated
07/08/2007
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