Individual
KELLEY BAER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
240 EL CONEJO ST, LOS ALAMOS, NM 87544-2429
(505) 920-0757
Mailing address
240 EL CONEJO ST, LOS ALAMOS, NM 87544-2429
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
19915357
—
Other
Enumeration date
10/13/2012
Last updated
10/13/2012
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