Provider Demographics
NPI:1194717132
Name:FOSTER, DARLENE KAY (MD)
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:KAY
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3330 NW 56TH ST
Mailing Address - Street 2:STE 604
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4479
Mailing Address - Country:US
Mailing Address - Phone:405-951-5992
Mailing Address - Fax:405-951-5994
Practice Address - Street 1:3330 NW 56TH ST
Practice Address - Street 2:STE 604
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4479
Practice Address - Country:US
Practice Address - Phone:405-951-5992
Practice Address - Fax:405-951-5994
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2024-07-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK18470207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKP00042483OtherRAILROAD MEDICARE
OKP00042483OtherRAILROAD MEDICARE