Individual
KIMBERLY KOURETCHIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1621 W CARROLL AVE, CHICAGO, IL 60612-2501
(888) 510-0059
(708) 406-1629
Mailing address
10185 MYSTIC FALLS DR, LAS VEGAS, NV 89141-9039
(206) 708-3406
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60593785
WA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-308290
WA
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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