Individual
MRS. DANIELLE RENEE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC, IBCLC
Contact information
Practice address
205 BERGEN TPKE, 1-K, RIDGEFIELD PARK, NJ 07660-2336
(201) 658-0711
Mailing address
205 BERGEN TPKE, 1-K, RIDGEFIELD PARK, NJ 07660-2336
(201) 658-0711
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO12428200
NJ
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-68064
NJ
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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