Individual
KELSEY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8192 LYMAN CT, MECHANICSVILLE, VA 23116-4199
(267) 939-5145
Mailing address
8192 LYMAN CT, MECHANICSVILLE, VA 23116-4199
(267) 939-5145
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0001239618
VA
Other
Enumeration date
01/03/2022
Last updated
04/03/2025
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