Individual
ALLISON KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, CLC, CPST
Contact information
Practice address
28 BAKER ST, FORT RUCKER, AL 36362-2252
(601) 946-6100
Mailing address
28 BAKER ST, FORT RUCKER, AL 36362-2252
(601) 946-6100
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
—
—
Other
Enumeration date
09/27/2020
Last updated
09/27/2020
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