Whalio Doctors

NPI 1245228550

Kim Alan Foreman, MD

Practitioner Sports Medicine (Orthopaedic Surgery) Physician Tyler, TX

Practice location

Address
8101 S Broadway Ave Suite 200, Tyler, TX 75703-5469
Phone
(903) 561-2495
Fax
(800) 848-0426
Mailing address
PO Box 130189, Tyler, TX 75713-0189

Registered specialties

Sports Medicine (Orthopaedic Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207XX0005X Licence F9435 (TX)

Registry record

NPI
1245228550
Entity type
Individual
Sex (as registered)
Male
NPI issued
11 Oct 2005
Record last updated
21 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.