Kenneth Garold Foster JR., PA-C

NPI #1992249486 in Oklahoma City, Oklahoma

Provider Information

NPI Number: 1992249486
Entity Type: Individual
Name: Kenneth Garold Foster JR., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Dec 19, 2016
Last Updated: Dec 19, 2016

Practice Location

Address: 5252 N MERIDIAN AVE
Address 2: SUITE 101
City: Oklahoma City
State: Oklahoma
ZIP Code: 73112-2178
Phone: (405) 789-0458

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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