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NPI Code Detail

MEDICARE: SADE KAITLYN LIVING CERTIFIED DOULA

MEDICARE:   SADE KAITLYN LIVING  CERTIFIED DOULA
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
1374J00000XDoula6165TX

General Provider Information

NPI Number : 1871282236
Entity Type Code : Individual
Provider Name (Legal Business Name) : SADE KAITLYN LIVING CERTIFIED DOULA
Provider Business Mailing Address
First Line : 30011 S LAKE FALLS CIR
Second Line :
City : SPRING
State : TX
Zip : 77386-2897
Country : US
Telephone Number : 832-319-0930
Fax Number :
Provider Business Practice Location Address
First Line : 30011 S LAKE FALLS CIR
Second Line :
City : SPRING
State : TX
Zip : 77386-2897
Country : US
Telephone Number : 832-319-0930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2023
Last Update Date : 05/02/2023

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Directions to “ SADE KAITLYN LIVING CERTIFIED DOULA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.