Provider Demographics
NPI:1508580879
Name:WOZNIAK, KAITLYN DINNEH (DOULA)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:DINNEH
Last Name:WOZNIAK
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1721 STOKESLEY RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21222-4838
Mailing Address - Country:US
Mailing Address - Phone:443-224-6294
Mailing Address - Fax:
Practice Address - Street 1:1721 STOKESLEY RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-4838
Practice Address - Country:US
Practice Address - Phone:443-224-6294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula