Individual
KENNETH GAROLD FOSTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5252 N MERIDIAN AVE, SUITE 101, OKLAHOMA CITY, OK 73112-2178
(405) 789-0458
(405) 787-0184
Mailing address
5252 N MERIDIAN AVE, SUITE 101, OKLAHOMA CITY, OK 73112-2178
(405) 789-0458
(405) 787-0184
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 2703
OK
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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