Provider Demographics
NPI:1265221865
Name:DUNHAM, MOLLY KATHERINE
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:KATHERINE
Last Name:DUNHAM
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 HALL RD LOT 46
Mailing Address - Street 2:
Mailing Address - City:BEAVER DAMS
Mailing Address - State:NY
Mailing Address - Zip Code:14812-9715
Mailing Address - Country:US
Mailing Address - Phone:607-742-0797
Mailing Address - Fax:
Practice Address - Street 1:1231 HALL RD LOT 46
Practice Address - Street 2:
Practice Address - City:BEAVER DAMS
Practice Address - State:NY
Practice Address - Zip Code:14812-9715
Practice Address - Country:US
Practice Address - Phone:607-742-0797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula