Individual
MRS. KELSEY ALEXIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
24111 CATALDO CT, LIBERTY LAKE, WA 99019-7610
(206) 817-0662
Mailing address
24111 CATALDO CT, LIBERTY LAKE, WA 99019-7610
(206) 817-0662
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-306412
WA
163WL0100X
Lactation Consultant (Registered Nurse)
RN00165734
WA
Other
Enumeration date
12/20/2021
Last updated
12/20/2021
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