Individual
MCKELLE SKIRVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
261 E BROADWAY STE 300, SALT LAKE CITY, UT 84111-2463
(385) 304-4253
Mailing address
261 E BROADWAY STE 300, SALT LAKE CITY, UT 84111-2463
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-314554
UT
Other
Enumeration date
12/15/2023
Last updated
01/01/2024
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