Provider Demographics
NPI:1568784551
Name:FOSTER, KIMBERLY ANNE (ND)
Entity Type:Individual
Prefix:DR
First Name:KIMBERLY
Middle Name:ANNE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1278 ARCADIA DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-5343
Mailing Address - Country:US
Mailing Address - Phone:541-221-1827
Mailing Address - Fax:888-748-1289
Practice Address - Street 1:1278 ARCADIA DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-5343
Practice Address - Country:US
Practice Address - Phone:541-221-1827
Practice Address - Fax:888-748-1289
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1723175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath