Individual
KYLA PFANNENSTIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, IBCLC
Contact information
Practice address
11426 S NANDINA AVE, JENKS, OK 74037-2168
(918) 851-1667
Mailing address
11426 S NANDINA AVE, JENKS, OK 74037-2168
(918) 851-1667
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
81297
OK
Other
Enumeration date
08/17/2018
Last updated
08/17/2018
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