Provider Demographics
NPI:1982115663
Name:RAMIREZ, KATHRYN SUE (LM, CPM)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:SUE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1778 WHISTLING DR
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-4594
Mailing Address - Country:US
Mailing Address - Phone:760-813-6262
Mailing Address - Fax:760-884-8084
Practice Address - Street 1:1778 WHISTLING DR
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-4594
Practice Address - Country:US
Practice Address - Phone:760-813-6262
Practice Address - Fax:760-884-8084
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-20
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM511176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife