Provider Demographics
NPI:1639877723
Name:ABLEMIDWIFE LLC
Entity Type:Organization
Organization Name:ABLEMIDWIFE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:L
Authorized Official - Last Name:PARKS
Authorized Official - Suffix:
Authorized Official - Credentials:CDM, CPM
Authorized Official - Phone:907-978-5160
Mailing Address - Street 1:PO BOX 80564
Mailing Address - Street 2:
Mailing Address - City:FAIRBANKS
Mailing Address - State:AK
Mailing Address - Zip Code:99708-0564
Mailing Address - Country:US
Mailing Address - Phone:907-978-5160
Mailing Address - Fax:888-388-0409
Practice Address - Street 1:2122 MUDDY HILL LN
Practice Address - Street 2:
Practice Address - City:FAIRBANKS
Practice Address - State:AK
Practice Address - Zip Code:99709-6215
Practice Address - Country:US
Practice Address - Phone:907-978-5160
Practice Address - Fax:888-388-0409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty