Individual
SUE ANN KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
1956 CATBIRD TRL, TALLAHASSEE, FL 32311-8868
(850) 276-0922
Mailing address
1956 CATBIRD TRL, TALLAHASSEE, FL 32311-8868
(850) 276-0922
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
RN9530249
FL
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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