Individual
MRS. SHANNON DEE KEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN IBCLC RLC
Contact information
Practice address
3505 CONVERSE DR, SUITE 200, WILMINGTON, NC 28403-6131
(910) 392-5634
(910) 392-5654
Mailing address
6520 SHIRE LN, WILMINGTON, NC 28411-1021
(910) 508-2147
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
215454
NC
Other
Enumeration date
12/23/2009
Last updated
08/07/2012
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