Provider Demographics
NPI:1689322885
Name:LOWE, KAILEE (DOULA, CLC, CBE)
Entity Type:Individual
Prefix:
First Name:KAILEE
Middle Name:
Last Name:LOWE
Suffix:
Gender:F
Credentials:DOULA, CLC, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 EISEMAN WAY
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-0059
Mailing Address - Country:US
Mailing Address - Phone:727-515-1876
Mailing Address - Fax:
Practice Address - Street 1:528 EISEMAN WAY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-0059
Practice Address - Country:US
Practice Address - Phone:864-735-8334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
Provider Identifiers
StateIdentifier IDID TypeIssuer
374J00000XOtherDOULA