# ILLUMINATED MIDWIFERY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Illuminated Midwifery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194572420
- **Authorized official:** KITTY LAKEY LM., CPM. (LICENSED MIDWIFE, OWNER)
- **Authorized official phone:** (813) 444-6007

## Contact information

- **Practice address:** 6129 WILLOWSIDE ST, PALMETTO, FL 34221-2277
- **Practice address phone:** (813) 444-6007
- **Practice address fax:** (941) 212-5001
- **Mailing address:** 6129 WILLOWSIDE ST, PALMETTO, FL 34221-2277
- **Mailing address phone:** (813) 444-6007
- **Mailing address fax:** (941) 212-5001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | NULL | Yes |
| 176B00000X | Midwife | — | — | Yes |

## Other

- **Enumeration date:** 05/03/2024
- **Last updated:** 05/23/2024