Provider Demographics
NPI:1447075171
Name:JAMES, KAYANN
Entity type:Individual
Prefix:
First Name:KAYANN
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 GREAT BROOK VALLEY AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-5503
Mailing Address - Country:US
Mailing Address - Phone:508-688-5438
Mailing Address - Fax:
Practice Address - Street 1:20 GREAT BROOK VALLEY AVE APT 1
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-5503
Practice Address - Country:US
Practice Address - Phone:508-688-5438
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula