Provider Demographics
NPI:1427385939
Name:FOOSHEE, KAY (RPH)
Entity Type:Individual
Prefix:MS
First Name:KAY
Middle Name:
Last Name:FOOSHEE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 RUSHMORE CV
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78633-5100
Mailing Address - Country:US
Mailing Address - Phone:469-585-4598
Mailing Address - Fax:
Practice Address - Street 1:3204 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-2413
Practice Address - Country:US
Practice Address - Phone:512-869-0157
Practice Address - Fax:512-869-0157
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17891183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist