Individual
LAURA M KIEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
5226 WYNDROOK ST, FORT WORTH, TX 76244-5043
(940) 230-1521
Mailing address
5226 WYNDROOK ST, FORT WORTH, TX 76244-5043
(940) 230-1521
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
10988868
TX
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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