Provider Demographics
NPI:1235912171
Name:CHASING LIFE-WITH KALA MARIE
Entity type:Organization
Organization Name:CHASING LIFE-WITH KALA MARIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BIRTH/POSTPARTUM DOULA
Authorized Official - Prefix:
Authorized Official - First Name:KALA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MOLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-298-4195
Mailing Address - Street 1:207 WATER ST E
Mailing Address - Street 2:
Mailing Address - City:CANNON FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:55009-1638
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:207 WATER ST E
Practice Address - Street 2:
Practice Address - City:CANNON FALLS
Practice Address - State:MN
Practice Address - Zip Code:55009-1638
Practice Address - Country:US
Practice Address - Phone:507-298-4195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty