Individual
KIMBERLY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1138 LEXINGTON RD, SUITE 130, GEORGETOWN, KY 40324-9672
(502) 867-0222
Mailing address
1138 LEXINGTON RD, SUITE 130, GEORGETOWN, KY 40324-9672
(502) 867-0222
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA508
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
98003398
—
KY
Enumeration date
07/18/2006
Last updated
07/08/2007
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