Provider Demographics
NPI:1609269729
Name:KATERI KORMANN
Entity Type:Organization
Organization Name:KATERI KORMANN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BIRTH DOULA
Authorized Official - Prefix:
Authorized Official - First Name:KATERI
Authorized Official - Middle Name:
Authorized Official - Last Name:KORMANN
Authorized Official - Suffix:
Authorized Official - Credentials:CD(DONA)
Authorized Official - Phone:313-600-0368
Mailing Address - Street 1:521 S HOLCOMBE AVE
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55355-3011
Mailing Address - Country:US
Mailing Address - Phone:313-600-0368
Mailing Address - Fax:
Practice Address - Street 1:521 S HOLCOMBE AVE
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55355-3011
Practice Address - Country:US
Practice Address - Phone:313-600-0368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-13
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN8730 DONA INTERNATIO374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty