Kelly Jo Kitchen
Individual provider Active NPI Doula · Alanson, MI
NPI 1669156261 · NPPES record last updated Jun 14, 2023
Key facts
- NPI
- 1669156261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Doula 374J00000X
- Practice address
- 7868 Lakeview Rd
Alanson, MI 49706-9760 - Phone
- (517) 819-5025
- NPI assigned
- Jun 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | Yes |
Addresses
Primary practice location
7868 Lakeview Rd
Alanson, MI 49706-9760
Mailing address
7868 Lakeview Rd
Alanson, MI 49706-9760
Phone (517) 819-5025
NPI Registry JSON
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1669156261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7868 LAKEVIEW RD",
"city": "ALANSON",
"state": "MI",
"postal_code": "497069760",
"telephone_number": "517-819-5025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7868 LAKEVIEW RD",
"city": "ALANSON",
"state": "MI",
"postal_code": "497069760",
"telephone_number": "517-819-5025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITCHEN",
"first_name": "KELLY",
"middle_name": "JO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alanson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.