Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1245656842 |
---|---|
Provider Name | Mrs. Katherine Mariah Chrans |
First Address | Kansas City, MO 64109 |
Second Address | Kansas City, MO 64109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2014 |
Last Update Date | 16/12/2016 |