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NPI Code Detail

MEDICARE: KATHY LOEBEL CNM

MEDICARE: KATHY LOEBEL CNM
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
1367A00000XAdvanced Practice MidwifeCNM-5274CO

General Provider Information

NPI Number : 1548210412
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY LOEBEL CNM
Provider Business Mailing Address
First Line : 240 SHOTWELL ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-1323
Country : US
Telephone Number : 415-552-1013
Fax Number :
Provider Business Practice Location Address
First Line : 240 SHOTWELL ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94110-1323
Country : US
Telephone Number : 415-552-1013
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2006
Last Update Date : 03/07/2023

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