Provider Demographics
NPI:1174275564
Name:WHITTAM, KATHLEEN HOPE (CD (DONA) LCCE)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:HOPE
Last Name:WHITTAM
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 1:127 BEACHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-9674
Mailing Address - Country:US
Mailing Address - Phone:302-278-3288
Mailing Address - Fax:
Practice Address - Street 1:127 BEACHFIELD DR
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-9674
Practice Address - Country:US
Practice Address - Phone:302-278-3288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula