Provider Demographics
NPI:1689354847
Name:SUAREZ, KIMBERLY R (CD(DONA), CLC)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:R
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:CD(DONA), CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 SARATOGA DR
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1255
Mailing Address - Country:US
Mailing Address - Phone:914-548-5968
Mailing Address - Fax:
Practice Address - Street 1:18 SARATOGA DR
Practice Address - Street 2:
Practice Address - City:COLTS NECK
Practice Address - State:NJ
Practice Address - Zip Code:07722-1255
Practice Address - Country:US
Practice Address - Phone:914-548-5968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula