Provider Demographics
NPI:1962218198
Name:FOLEY-KEKAUOHA, MIRANDA CAROLINE (DOULA)
Entity type:Individual
Prefix:
First Name:MIRANDA
Middle Name:CAROLINE
Last Name:FOLEY-KEKAUOHA
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 1:2803 N 15TH ST
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-6204
Mailing Address - Country:US
Mailing Address - Phone:208-610-8452
Mailing Address - Fax:
Practice Address - Street 1:2803 N 15TH ST
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-6204
Practice Address - Country:US
Practice Address - Phone:208-610-8452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula