Individual
MRS. KRISTINE KELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC, RLC, BS
Contact information
Practice address
5208 DRY WELLS RD, AUSTIN, TX 78749-2233
(214) 641-5029
Mailing address
5208 DRY WELLS RD, AUSTIN, TX 78749-2233
(214) 641-5029
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-48935
TX
Other
Enumeration date
06/21/2014
Last updated
06/21/2014
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