Provider Demographics
NPI:1619715943
Name:WHITE, KAFAYAT (DOULA)
Entity type:Individual
Prefix:MRS
First Name:KAFAYAT
Middle Name:
Last Name:WHITE
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 E COURT AVE STE 445
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-3412
Mailing Address - Country:US
Mailing Address - Phone:502-780-8198
Mailing Address - Fax:
Practice Address - Street 1:708 S 16TH ST
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40210-1016
Practice Address - Country:US
Practice Address - Phone:502-905-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-19
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula