Provider Demographics
NPI:1376862185
Name:FOSTER, KEVIN B (MS)
Entity Type:Individual
Prefix:MR
First Name:KEVIN
Middle Name:B
Last Name:FOSTER
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2447 FINLAW AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08109-3241
Mailing Address - Country:US
Mailing Address - Phone:609-217-4897
Mailing Address - Fax:
Practice Address - Street 1:2447 FINLAW AVE
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08109-3241
Practice Address - Country:US
Practice Address - Phone:609-217-4897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor