Individual
KRYSTAL LYNN KOUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
5843 TAHOE PL, CEDAR LAKE, IN 46303-0676
(843) 743-9099
Mailing address
5843 TAHOE PL, CEDAR LAKE, IN 46303-0676
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
28156517A
IN
Other
Enumeration date
10/05/2021
Last updated
03/22/2022
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