Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 09000202A | IN |
NPI | 1114214053 |
---|---|
Provider Name | Kelley Catherine Saunders |
First Address | Cromwell, IN 46732-9501 |
Second Address | Cromwell, IN 46732-9501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2011 |
Last Update Date | 05/02/2021 |