Provider Demographics
NPI:1124751136
Name:GERCHALK, KRISTYN MICHELE (TRADITIONAL MIDWIFE)
Entity type:Individual
Prefix:
First Name:KRISTYN
Middle Name:MICHELE
Last Name:GERCHALK
Suffix:
Gender:F
Credentials:TRADITIONAL MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4026 VILLA NOVA RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21207-4649
Mailing Address - Country:US
Mailing Address - Phone:301-771-1373
Mailing Address - Fax:
Practice Address - Street 1:4026 VILLA NOVA RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21207-4649
Practice Address - Country:US
Practice Address - Phone:301-771-1373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-07
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay
No171400000XOther Service ProvidersHealth & Wellness Coach