Individual
DR. CHARLES KENNETH FOULSHAM II
Active
Individual
DR. CHARLES KENNETH FOULSHAM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD026474E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0008614940001
—
PA
01
—
058467
BLUE CROSS BLUE SHIELD
PA
01
—
18639
GEISINGER HEALTH PLAN
PA
Enumeration date
12/28/2006
Last updated
11/11/2008
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