Healthcare Provider Details

I. General information

NPI: 1316882871
Provider Name (Legal Business Name): MS. ZOIE KAY ANN WHITED I
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5220 US-31 S
PERU IN
46970
US

IV. Provider business mailing address

5220 US-31 S
PERU IN
46907
US

V. Phone/Fax

Practice location:
  • Phone: 765-434-0807
  • Fax:
Mailing address:
  • Phone: 765-434-0807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: