Individual
PETRA TUPY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
9727 BELINDER RD, LEAWOOD, KS 66206-2242
(913) 709-0031
Mailing address
9727 BELINDER RD, LEAWOOD, KS 66206-2242
(913) 709-0031
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
99130
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
99130
RN
KS
01
—
L125667
IBCLC
—
Enumeration date
06/05/2020
Last updated
05/09/2025
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