Provider Demographics
NPI:1649166752
Name:PADDOCK, KIRBY ERIN (DOULA)
Entity type:Individual
Prefix:
First Name:KIRBY
Middle Name:ERIN
Last Name:PADDOCK
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6703 WESTWIND WAY
Mailing Address - Street 2:
Mailing Address - City:CRESTWOOD
Mailing Address - State:KY
Mailing Address - Zip Code:40014-7797
Mailing Address - Country:US
Mailing Address - Phone:502-779-1701
Mailing Address - Fax:
Practice Address - Street 1:6703 WESTWIND WAY
Practice Address - Street 2:
Practice Address - City:CRESTWOOD
Practice Address - State:KY
Practice Address - Zip Code:40014-7797
Practice Address - Country:US
Practice Address - Phone:502-779-1701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula