Provider Demographics
NPI:1285925693
Name:BUEHLER, PHYLLIS KATHRYN (LM, CPM, CD)
Entity type:Individual
Prefix:
First Name:PHYLLIS
Middle Name:KATHRYN
Last Name:BUEHLER
Suffix:
Gender:F
Credentials:LM, CPM, CD
Other - Prefix:
Other - First Name:KAYTI
Other - Middle Name:
Other - Last Name:BUEHLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LM, CPM, CD
Mailing Address - Street 1:4142 ADAMS AVE # 103-309
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-2592
Mailing Address - Country:US
Mailing Address - Phone:619-309-6409
Mailing Address - Fax:619-828-1017
Practice Address - Street 1:4142 ADAMS AVE # 103-309
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-2592
Practice Address - Country:US
Practice Address - Phone:619-309-6409
Practice Address - Fax:619-828-1017
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374J00000X
CALM367176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No374J00000XNursing Service Related ProvidersDoula