Individual
MRS. KELLY SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
3438 VICTORIA AVE, COLUMBUS, IN 47203-2459
(765) 491-8285
Mailing address
3438 VICTORIA AVE, COLUMBUS, IN 47203-2459
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
11281557
IN
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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