Individual
MRS. KIM Y BRANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
88040
CA
174N00000X
Lactation Consultant (Non-RN)
211253
CA
174N00000X
Lactation Consultant (Non-RN)
ALPP-211253
CA
225700000X
Massage Therapist
Primary
88040
CA
374J00000X
Doula
6243
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
88040
MASSAGE THERAPY
CA
Enumeration date
10/16/2009
Last updated
07/28/2026
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