Kaleen Marie Foster, LM, CPM
Individual provider Active NPI Midwife · Crestline, CA
NPI 1649802182 · NPPES record last updated Mar 19, 2020
Key facts
- NPI
- 1649802182
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Midwife 176B00000X
- License
- LM598 (CA)
- Practice address
- 800 Chateau Dr
Crestline, CA 92325-9501 - Phone
- (763) 772-5896
- NPI assigned
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LM598 | CA | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife |
176B00000X | LM598 | CA | Yes |
Addresses
Primary practice location
800 Chateau Dr
Crestline, CA 92325-9501
Mailing address
PO Box 3342
Crestline, CA 92325-3342
Phone (763) 772-5896
Other providers in Crestline, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.