Provider Demographics
NPI:1144564253
Name:ORR, KATHRYN (CD(DONA), LCCE)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:ORR
Suffix:
Gender:F
Credentials:CD(DONA), LCCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12413 FLANDERS CT NE UNIT E
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55449-5186
Mailing Address - Country:US
Mailing Address - Phone:513-673-1664
Mailing Address - Fax:
Practice Address - Street 1:12413 FLANDERS CT NE UNIT E
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55449-5186
Practice Address - Country:US
Practice Address - Phone:513-673-1664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula