Individual
STACIA ANN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
7912 S 183RD ST, OMAHA, NE 68136-6438
(402) 651-3776
Mailing address
7912 S 183RD ST, OMAHA, NE 68136-6438
(402) 651-3776
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
74873
NE
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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