Individual
MRS. KATHLEEN VANDEGIESSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM MSN MBA
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
438110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
090025002
—
TX
01
—
1801990205
NPI
TX
Enumeration date
09/07/2006
Last updated
02/23/2016
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