Basic Information
| Provider Information | |||||||||
| NPI: | 1265836522 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FOSTER | ||||||||
| FirstName: | KIANA | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4371 NARROW LANE RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361162971 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3346133680 | ||||||||
| FaxNumber: | 3346133685 | ||||||||
| Practice Location | |||||||||
| Address1: | 4371 NARROW LANE RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | MONTGOMERY | ||||||||
| State: | AL | ||||||||
| PostalCode: | 361162971 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3346133680 | ||||||||
| FaxNumber: | 3346133685 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/15/2014 | ||||||||
| LastUpdateDate: | 09/02/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | MD.35268 | AL | Y | Allopathic & Osteopathic Physicians | General Practice |
No ID Information.