Provider Demographics
NPI:1063824167
Name:CHIU, KATHLEEN SAUVE (IBCLC, RLC)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:SAUVE
Last Name:CHIU
Suffix:
Gender:F
Credentials:IBCLC, RLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 PRESTWICK LN
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-2483
Mailing Address - Country:US
Mailing Address - Phone:404-538-4498
Mailing Address - Fax:
Practice Address - Street 1:86 PRESTWICK LN
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-2483
Practice Address - Country:US
Practice Address - Phone:404-538-4498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN