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Individual

KATHLEEN EASTWOOD

Active
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Individual

KATHLEEN EASTWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNM

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
121843
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1376816157
MO
Enumeration date
02/09/2012
Last updated
10/16/2017
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