Provider Demographics
NPI:1275867962
Name:FOSTER, KAREN WILSON (APRN)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:WILSON
Last Name:FOSTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:RENEE
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:105 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42164-1449
Mailing Address - Country:US
Mailing Address - Phone:270-239-1400
Mailing Address - Fax:270-239-1402
Practice Address - Street 1:1732 OLD GALLATIN RD
Practice Address - Street 2:
Practice Address - City:SCOTTSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42164-8900
Practice Address - Country:US
Practice Address - Phone:270-239-1400
Practice Address - Fax:270-239-1402
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-28
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3006385363LA2100X
KY300685364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care