Provider Demographics
NPI:1790742740
Name:MIDWIFERY TRADITIONS & ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:MIDWIFERY TRADITIONS & ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:HINDLE
Authorized Official - Suffix:
Authorized Official - Credentials:CNM, MSM
Authorized Official - Phone:215-249-9646
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:BEDMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18910-0125
Mailing Address - Country:US
Mailing Address - Phone:215-249-9646
Mailing Address - Fax:215-249-3786
Practice Address - Street 1:24 MAINLAND RD UNIT 3
Practice Address - Street 2:
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-2531
Practice Address - Country:US
Practice Address - Phone:215-249-9646
Practice Address - Fax:215-249-3786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2021-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW008598L176B00000X
367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty
No176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1043276173OtherKATHLEEN HINDLE, CNM