Individual
KAITLYN DOERNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC
Contact information
Practice address
11099 NW STATE HIGHWAY 11, WHITEWRIGHT, TX 75491-7562
(903) 815-4817
Mailing address
11099 NW STATE HIGHWAY 11, WHITEWRIGHT, TX 75491-7562
(903) 815-4817
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-83577
TX
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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