Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | 99383 | TX |
NPI | 1013556745 |
---|---|
Provider Name | Kelsey Chieko Babb |
First Address | Houston, TX 77023-1440 |
Second Address | Houston, TX 77023-1440 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2019 |
Last Update Date | 28/12/2019 |