Individual
KATHRYN GRETCHEN DIRKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
CNM04860
GA
176B00000X
Midwife
Primary
RN261804
GA
363LF0000X
Family Nurse Practitioner
RN261804
GA
Other
Enumeration date
06/07/2018
Last updated
06/12/2024
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