Individual
KAY GRITZKE BANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15303 HUEBNER RD STE 15, SAN ANTONIO, TX 78248-0983
(210) 646-1570
(210) 697-2401
Mailing address
15303 HUEBNER RD STE 15, SAN ANTONIO, TX 78248-0983
(210) 646-1570
(210) 697-2401
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
618778
TX
174N00000X
Lactation Consultant (Non-RN)
L-16156
TX
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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