Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 11189 | OH |
NPI | 1033447016 |
---|---|
Provider Name | Kathleen Elizabeth Waibel |
First Address | Columbus, OH 43214-2330 |
Second Address | Columbus, OH 43214-2330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2009 |
Last Update Date | 30/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3062804 | (05) | OH |