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NPI Code Detail

MEDICARE: KATRINA M FOSTER

MEDICARE:   KATRINA M 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
1172A00000XDriver

General Provider Information

NPI Number : 1437374741
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA M FOSTER
Provider Business Mailing Address
First Line : 8805 NW 121ST TER
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-1839
Country : US
Telephone Number : 405-722-1967
Fax Number :
Provider Business Practice Location Address
First Line : 8805 NW 121ST TER
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73162-1839
Country : US
Telephone Number : 405-722-1967
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2007
Last Update Date : 07/08/2007

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Directions to “ KATRINA M FOSTER ” Practice Location

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