Provider Demographics
NPI:1184440307
Name:FEE, KATHLEEN ELIZABETH (CLD, LC)
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ELIZABETH
Last Name:FEE
Suffix:
Gender:F
Credentials:CLD, LC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:428 CALDWELL LOOP
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-8396
Mailing Address - Country:US
Mailing Address - Phone:803-833-2963
Mailing Address - Fax:
Practice Address - Street 1:428 CALDWELL LOOP
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-8396
Practice Address - Country:US
Practice Address - Phone:803-833-2963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula