Provider Demographics
NPI:1851444095
Name:DELFINO, KATHLEEN A (CNM)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:A
Last Name:DELFINO
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WINIKA CT
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02919-5082
Mailing Address - Country:US
Mailing Address - Phone:401-944-6122
Mailing Address - Fax:
Practice Address - Street 1:111 POINT ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4715
Practice Address - Country:US
Practice Address - Phone:401-421-9620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMW00048176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife