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Individual

KERI A BOSTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN BSN IBCLC

Contact information

Practice address
1800 BROADWAY ST, PEKIN, IL 61554-3822
(309) 929-0296
(309) 925-3028
Mailing address
PO BOX 1596, TREMONT, IL 61568-1596
(309) 202-5393
(309) 925-3028

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.385521
IL
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-127068
IL

Other

Enumeration date
01/04/2017
Last updated
02/12/2025
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