Provider Demographics
NPI:1659984508
Name:GABEL, KATHY (RN, IBCLC)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:GABEL
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18803 N BLANCO BEND DR
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-3116
Mailing Address - Country:US
Mailing Address - Phone:281-451-1869
Mailing Address - Fax:
Practice Address - Street 1:18803 N BLANCO BEND DR
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-3116
Practice Address - Country:US
Practice Address - Phone:281-451-1869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX788916163WM0102X
TXL-130112163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX788916OtherTEXAS BOARD OF NURSING
L-130112OtherINTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS