Provider Demographics
NPI:1821654013
Name:KAPPES, ANNE JUDE (BSN, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:JUDE
Last Name:KAPPES
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7014 E 112TH PL S
Mailing Address - Street 2:
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-2072
Mailing Address - Country:US
Mailing Address - Phone:713-409-9889
Mailing Address - Fax:
Practice Address - Street 1:7014 E 112TH PL S
Practice Address - Street 2:
Practice Address - City:BIXBY
Practice Address - State:OK
Practice Address - Zip Code:74008-2072
Practice Address - Country:US
Practice Address - Phone:713-409-9889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-14
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK217228163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant