# MRS. KATHLEEN JO PEACOCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1518294800
- **Gender:** F
- **Credential:** CNM, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 367A00000X | Advanced Practice Midwife | R186240 | MD | Yes |
| 367A00000X | Advanced Practice Midwife | RN1034066 | DC | — |

## Other

- **Enumeration date:** 11/09/2009
- **Last updated:** 03/07/2017