Provider Demographics
NPI:1972383610
Name:CHURCHWELL, KIERRA (TRAINED DOULA)
Entity type:Individual
Prefix:
First Name:KIERRA
Middle Name:
Last Name:CHURCHWELL
Suffix:
Gender:F
Credentials:TRAINED DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 JACKSON ST W
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49037-2349
Mailing Address - Country:US
Mailing Address - Phone:269-447-3858
Mailing Address - Fax:
Practice Address - Street 1:431 JACKSON ST W
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49037-2349
Practice Address - Country:US
Practice Address - Phone:269-447-3858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula