Provider Demographics
NPI:1982440178
Name:WESTERFIELD, KINDRA
Entity type:Individual
Prefix:
First Name:KINDRA
Middle Name:
Last Name:WESTERFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 S WHITE SANDS BLVD # 1013
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-7281
Mailing Address - Country:US
Mailing Address - Phone:575-201-3137
Mailing Address - Fax:
Practice Address - Street 1:801 S WHITE SANDS BLVD # 1013
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-7281
Practice Address - Country:US
Practice Address - Phone:575-201-3137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-08
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No374J00000XNursing Service Related ProvidersDoula