Individual
KATIE JEAN ATKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
2988 N QUAIL CREEK DR, FAYETTEVILLE, AR 72703-3983
(479) 879-2586
Mailing address
2988 N QUAIL CREEK DR, FAYETTEVILLE, AR 72703-3983
(479) 879-2586
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-131699
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L-131699
LACTATION CONSULTANT
AR
Enumeration date
07/15/2018
Last updated
06/11/2019
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