Individual
DONIELLE L KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, IBCLC
Contact information
Practice address
11292 OSWEGO ST, COMMERCE CITY, CO 80640-7604
(720) 467-8397
Mailing address
11292 OSWEGO ST, COMMERCE CITY, CO 80640-7604
(720) 467-8397
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1099429
CO
174N00000X
Lactation Consultant (Non-RN)
Primary
327498
CO
Other
Enumeration date
03/27/2021
Last updated
09/12/2023
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