Organization Name: | KAIROS MIDWIFERY |
NPI Number: | 1215341342 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA LYNN SAHLSTROM (MIDWIFE/OWNER) |
Mailing Address: | 16802 145th Ave Milaca |
State: | MN US |
Postal Code: | 563533208 |
Phone Number: | 3203620476 |
Fax Number: | |
NPI Enumeration Date: | 06/17/2014 |
NPI Last Update Date: | 01/19/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QB0400X |
License Number: | 1051 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Birthing |
Taxonomy Definition: |