Provider Demographics
NPI:1437225273
Name:FOSTER, KIM MARIE (RN)
Entity type:Individual
Prefix:MRS
First Name:KIM
Middle Name:MARIE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1709 LAKECLIFF HILLS LN
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-2228
Mailing Address - Country:US
Mailing Address - Phone:760-716-6911
Mailing Address - Fax:512-266-5957
Practice Address - Street 1:1709 LAKECLIFF HILLS LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-2228
Practice Address - Country:US
Practice Address - Phone:760-716-6911
Practice Address - Fax:512-266-5957
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA342371163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management