Individual
JESSICA KINSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-CLC
Contact information
Practice address
8361 TURKEY RUN DR, COLORADO SPRINGS, CO 80920-7057
(720) 218-4110
Mailing address
8361 TURKEY RUN DR, COLORADO SPRINGS, CO 80920-7057
(720) 218-4110
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1640647
CO
174N00000X
Lactation Consultant (Non-RN)
337310
CO
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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