Individual
JESSICA M. KAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
18697 MILA MARIE DR, LOUISVILLE, KY 40245-5387
(434) 610-8376
Mailing address
18697 MILA MARIE DR, LOUISVILLE, KY 40245-5387
(434) 610-8376
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
232655
KY
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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