Individual
MRS. KRISTIN NICHOLE EAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
2011 ARCHMORE DR, KETTERING, OH 45440-1801
(937) 239-7229
Mailing address
2011 ARCHMORE DR, KETTERING, OH 45440-1801
(937) 239-7229
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
337700
OH
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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