Healthcare Provider Details

I. General information

NPI: 1811224587
Provider Name (Legal Business Name): KATE FIELDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2009
Last Update Date: 01/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8375 MILE RD
NEW LEBANON OH
45345-9623
US

IV. Provider business mailing address

606 CREEK RD
FOUNTAIN RUN KY
42133-9407
US

V. Phone/Fax

Practice location:
  • Phone: 937-238-1144
  • Fax:
Mailing address:
  • Phone: 937-238-1144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: