Kenwood Glenn Foster

NPI 1194881003 - Social Worker - 1041C0700X

NPI Details
NPI 1194881003
Gender Male
Enumeration Date 12/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1205 VERMONT ST
SUITE A
QUINCY IL, 62301-3117, US
Phone (217) 228-0333
Fax (217) 228-0952
Business Location
1205 VERMONT ST
SUITE A
QUINCY IL, 62301-3117, US
Phone (217) 228-0333
Fax (217) 228-0952
Toxanomy
Taxonomy Code 1041C0700X
License State Illinois
License Number 149.000504
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According to our database, Mr. Kenwood Glenn Foster NPI is 1194881003, taxonomy code is 1041C0700X and license number is 149.000504, license state is located at Illinois. Kenwood Glenn Foster physically located at 1205 Vermont St, Quincy IL, 62301-3117. NPI Number Kenwood Glenn Foster has the Individual type.

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1194881003 NPI number is provided on an as is basis without warranty of any kind. 1194881003 is maintained by the National Plan & Provider Enumeration System. The contents of Kenwood Glenn Foster are for informational purposes only.