Organization
THE BALANCED BOOB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY KENDALL RN IBCLC (CEO)
(856) 220-5144
Entity
Organization
Contact information
Practice address
1782 E REGENTS PARK RD, CROFTON, MD 21114-2530
(856) 220-5144
Mailing address
1782 E REGENTS PARK RD, CROFTON, MD 21114-2530
(856) 220-5144
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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