Individual
KIMBERLY MCGLOTHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
750 CRESTOVER DR, COLLIERVILLE, TN 38017-1694
(901) 550-0028
Mailing address
750 CRESTOVER DR, COLLIERVILLE, TN 38017-1694
(901) 550-0028
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0000125459
TN
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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