| Doctor Name: | SANDRA L FOOSHEE |
| NPI Number: | 1033183215 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA |
| License Number: | KY PA # 708 |
| Business Practice Address: | 320 W 18th St Hopkinsville, KY - 422401965 |
| Business Phone Number: | 2708870183 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2400, HOPKINSVILLE |
| State: | KY |
| Postal Code: | 422412400 |
| Phone Number: | 2708870183 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2006 |
| NPI Last Update Date: | 04/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | KY PA # 708 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |