Individual
KELLEEN MERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
5877 CENTRAL AVE STE B, PORTAGE, IN 46368-2967
(219) 877-8871
Mailing address
9 BROWNING LN, VALPARAISO, IN 46383-7414
(219) 877-8871
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-316762
IN
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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