Whalio Doctors

NPI 1255636304

Kathy Lebaron, LMCPM

Practitioner Midwife Rigby, ID

Practice location

Address
297n 3855 East, Rigby, ID 83442
Phone
(208) 745-7571
Fax
(208) 745-8924
Mailing address
334 Randy Dr, Rexburg, ID 83440-1712

Registered specialties

Midwife Primary
Other Service Providers Taxonomy 176B00000X Licence MID - 19 (ID)

Registry record

NPI
1255636304
Entity type
Individual
Sex (as registered)
Female
NPI issued
21 Jan 2011
Record last updated
21 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.