Healthcare Provider Details

I. General information

NPI: 1306730031
Provider Name (Legal Business Name): KIMBERLY JULIANA HYDE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2025
Last Update Date: 06/06/2025
Certification Date: 06/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 MONTEREY PL
WILMINGTON DE
19809-2538
US

IV. Provider business mailing address

1106 MONTEREY PL
WILMINGTON DE
19809-2538
US

V. Phone/Fax

Practice location:
  • Phone: 302-419-7983
  • Fax:
Mailing address:
  • Phone: 302-419-7983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: