Provider Demographics
NPI:1811621626
Name:KLEEFELD, SARAH MARIE (MSM, LM)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:MARIE
Last Name:KLEEFELD
Suffix:
Gender:F
Credentials:MSM, LM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 E LAWRENCE ST APT A
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-6304
Mailing Address - Country:US
Mailing Address - Phone:253-304-2707
Mailing Address - Fax:
Practice Address - Street 1:515 E LAWRENCE ST APT A
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-6304
Practice Address - Country:US
Practice Address - Phone:253-304-2707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-15
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61496177176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife