MEDICARE: LENDER KAYE FOSTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	349708	MN

General Provider Information

NPI Number	:	1174897532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LENDER KAYE FOSTER

Provider Business Mailing Address
First Line	:	2380 WYCLIFF ST
Second Line	:	SUITE 200
City	:	SAINT PAUL
State	:	MN
Zip	:	55114-1279
Country	:	US
Telephone Number	:	651-528-6346
Fax Number	:	651-528-7056

Provider Business Practice Location Address
First Line	:	2380 WYCLIFF ST
Second Line	:	SUITE 200
City	:	SAINT PAUL
State	:	MN
Zip	:	55114-1279
Country	:	US
Telephone Number	:	651-528-6346
Fax Number	:	651-528-7056

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2012
Last Update Date	:	10/29/2012

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Directions to “ LENDER KAYE FOSTER ” Practice Location

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