Individual
MRS. KENDRA L SHELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1425 SHERBORN CT S, MINOOKA, IL 60447-4569
(815) 557-6792
Mailing address
1425 SHERBORN CT S, MINOOKA, IL 60447-4569
(815) 557-6792
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-82571
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S510-5128-2895
DRIVER ID
IL
Enumeration date
03/04/2022
Last updated
03/04/2022
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