Provider Demographics
NPI:1679335566
Name:GAFFNEY, KATHLEEN KAATI
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:KAATI
Last Name:GAFFNEY
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 1:2150 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:ARCATA
Mailing Address - State:CA
Mailing Address - Zip Code:95521-5350
Mailing Address - Country:US
Mailing Address - Phone:775-846-8238
Mailing Address - Fax:
Practice Address - Street 1:2150 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:ARCATA
Practice Address - State:CA
Practice Address - Zip Code:95521-5350
Practice Address - Country:US
Practice Address - Phone:775-846-8238
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula