Individual
KATHLEEN A BREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.N.M.
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
F000561
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01780170
—
NY
Enumeration date
05/17/2006
Last updated
09/13/2012
Update your record
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