Individual
KELSAY CORLEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, IBCLC
Contact information
Practice address
760 MCINTYRE ST, BOWLING GREEN, KY 42101-7456
(270) 405-6496
Mailing address
760 MCINTYRE ST, BOWLING GREEN, KY 42101-7456
(270) 405-6496
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86292589
—
174N00000X
Lactation Consultant (Non-RN)
L-312003
—
Other
Enumeration date
11/24/2023
Last updated
11/24/2023
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