Individual
KAYLEE GODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
123 N TYLER RD STE 100, WICHITA, KS 67212-3726
(316) 202-8264
Mailing address
607 N 2ND ST, COLWICH, KS 67030-9644
(316) 214-5697
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-314162
KS
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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