Provider Demographics
NPI:1124702154
Name:KINSEY, DAPHYNNE ANN (DOULA)
Entity type:Individual
Prefix:
First Name:DAPHYNNE
Middle Name:ANN
Last Name:KINSEY
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 MARQUETTE AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:MUSKEGON
Mailing Address - State:MI
Mailing Address - Zip Code:49442-1394
Mailing Address - Country:US
Mailing Address - Phone:231-903-1728
Mailing Address - Fax:
Practice Address - Street 1:860 MARQUETTE AVE APT 1
Practice Address - Street 2:
Practice Address - City:MUSKEGON
Practice Address - State:MI
Practice Address - Zip Code:49442-1394
Practice Address - Country:US
Practice Address - Phone:231-903-1728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula