Healthcare Provider Details

I. General information

NPI: 1801641931
Provider Name (Legal Business Name): KAZIA BRYANT DOULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2024
Last Update Date: 04/22/2024
Certification Date: 04/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8407 ARBOR MEADOW WAY
LOUISVILLE KY
40228-4411
US

IV. Provider business mailing address

8407 ARBOR MEADOW WAY
LOUISVILLE KY
40228-4411
US

V. Phone/Fax

Practice location:
  • Phone: 502-644-9672
  • Fax:
Mailing address:
  • Phone: 502-644-9672
  • 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: