Provider Demographics
NPI:1851441737
Name:KIMBERLEY FOSTER
Entity Type:Organization
Organization Name:KIMBERLEY FOSTER
Other - Org Name:FOSTER TRANSPORTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:JOANN
Authorized Official - Last Name:FOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-937-2915
Mailing Address - Street 1:907 E MAY ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46320-2158
Mailing Address - Country:US
Mailing Address - Phone:219-937-2515
Mailing Address - Fax:
Practice Address - Street 1:907 E MAY ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46320-2158
Practice Address - Country:US
Practice Address - Phone:219-937-2515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN3318311343800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)