Provider Demographics
NPI:1033624820
Name:KIRKPATRICK, DEBORAH (DOULA, MIDWIFE)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:KIRKPATRICK
Suffix:
Gender:F
Credentials:DOULA, MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1507 BETHEL ST NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-3304
Mailing Address - Country:US
Mailing Address - Phone:503-893-8163
Mailing Address - Fax:
Practice Address - Street 1:1507 BETHEL ST NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-3304
Practice Address - Country:US
Practice Address - Phone:503-893-8163
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-03
Last Update Date:2017-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP1600X, 106H00000X, 133NN1002X, 174N00000X, 176P00000X
OR374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No174N00000XOther Service ProvidersLactation Consultant, Non-RN
No176P00000XOther Service ProvidersFuneral Director