Individual
KATHRYN YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC, C-FSD BADT
Contact information
Practice address
103 N PARK ST, YPSILANTI, MI 48198-2923
(734) 558-8738
Mailing address
103 N PARK ST, YPSILANTI, MI 48198-2923
(734) 558-8738
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
323010
—
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323010
ALPP ID NUMBER
—
Enumeration date
06/02/2021
Last updated
12/04/2023
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