Dewolf, Kathryn Bradbury

Dewolf, Kathryn Bradbury is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-1000. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Midwife, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Dewolf, Kathryn Bradbury can be contacted via phone (603) 653-9300.

Contact Information

Primary practice address
1 Medical Center Dr Lebanon NH 03756-1000
Phone: (603) 653-9300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X CNM0810 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 065067-23 New Hampshire

Profile Details

NPI number 1861765380
LBN Legal business name Dewolf, Kathryn Bradbury
Credentials MS, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2012
Last updated Dec 8th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861765380 NPPES
New Hampshire MEDICAID 3079026

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