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NPI Code Detail

MEDICARE: KERRY FOSTER

MEDICARE: KERRY FOSTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
23747A0650XAttendant Care Provider
33747P1801XPersonal Care Attendant

General Provider Information

NPI Number : 1134651557
Entity Type Code : Individual
Provider Name (Legal Business Name) : KERRY FOSTER
Provider Business Mailing Address
First Line : 3365 W CRAIG RD
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-5112
Country : US
Telephone Number : 702-247-4535
Fax Number :
Provider Business Practice Location Address
First Line : 2881 S VALLEY VIEW BLVD STE 6
Second Line :
City : LAS VEGAS
State : NV
Zip : 89102-0171
Country : US
Telephone Number : 702-253-1031
Fax Number : 702-253-9474
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2017
Last Update Date : 08/26/2022

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Directions to “ KERRY FOSTER ” Practice Location

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