Individual
JORDAN KAYELIN KELLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
230 PEA RIDGE RD, PICAYUNE, MS 39466-7823
(601) 916-1215
Mailing address
230 PEA RIDGE RD, PICAYUNE, MS 39466-7823
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
904237
MS
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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