Individual
KJERSTEN GAMMELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8901 AZTEC DR, EDEN PRAIRIE, MN 55347-1916
(678) 509-6455
Mailing address
8901 AZTEC DR, EDEN PRAIRIE, MN 55347-1916
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
325338
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
325338
ACADEMY OF LACTATION POLICY AND PRACTICE
—
Enumeration date
01/13/2022
Last updated
01/13/2022
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