Provider Demographics
NPI:1891520904
Name:TOMPKINS, KAYON (FULL SPECTRUM DOULA)
Entity type:Individual
Prefix:MRS
First Name:KAYON
Middle Name:
Last Name:TOMPKINS
Suffix:
Gender:F
Credentials:FULL SPECTRUM DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1814 TOWNER AVE SW
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49507-2355
Mailing Address - Country:US
Mailing Address - Phone:616-419-8580
Mailing Address - Fax:
Practice Address - Street 1:1814 TOWNER AVE SW
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49507-2355
Practice Address - Country:US
Practice Address - Phone:616-419-8580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty