Individual
KELLY CEDAR NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
111 RAMBLE LN STE 115, AUSTIN, TX 78745-2281
(512) 808-0237
Mailing address
10411 HATTON LN, AUSTIN, TX 78754-5526
(860) 885-4226
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-309522
TX
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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