Provider Demographics
NPI:1942530621
Name:RASMUSSEN, KIRA (CD, (DONA))
Entity Type:Individual
Prefix:
First Name:KIRA
Middle Name:
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:CD, (DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 WALLER AVE
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37803-6000
Mailing Address - Country:US
Mailing Address - Phone:865-254-1813
Mailing Address - Fax:
Practice Address - Street 1:140 WALLER AVE
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37803-6000
Practice Address - Country:US
Practice Address - Phone:865-254-1813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-03
Last Update Date:2010-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula