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Individual

KRISTIN MCCORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, IBCLC

Contact information

Practice address
26565 AGOURA RD STE 200, CALABASAS, CA 91302-1990
(800) 998-7042
Mailing address
403 S 1ST ST, TIPP CITY, OH 45371-1709
(937) 657-3459

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
7552
OH
174N00000X
Lactation Consultant (Non-RN)
Primary
L-313074

Other

Enumeration date
10/07/2019
Last updated
01/02/2024
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