Provider Demographics
NPI:1407569684
Name:LIND, KIRSTEN M (DOULA)
Entity Type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:M
Last Name:LIND
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:KIRSTEN
Other - Middle Name:MARIE
Other - Last Name:YOB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18903 24TH AVE W # B
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-4808
Mailing Address - Country:US
Mailing Address - Phone:425-590-7767
Mailing Address - Fax:
Practice Address - Street 1:18903 24TH AVE W # B
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4808
Practice Address - Country:US
Practice Address - Phone:425-590-7767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty