Individual
MS. MARGUERITE JANE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2301 ORLEANS DR, CEDAR PARK, TX 78613-4730
(512) 788-2350
Mailing address
2301 ORLEANS DR, CEDAR PARK, TX 78613-4730
(512) 788-2350
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
08/04/2012
Last updated
08/04/2012
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