Individual
KELLY PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
5651 COUNTRY VIEW LN, FRISCO, TX 75036-4635
(214) 903-9470
Mailing address
5651 COUNTRY VIEW LN, FRISCO, TX 75036-4635
(214) 903-9470
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-122572
TX
Other
Enumeration date
07/13/2019
Last updated
07/13/2019
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