Individual
KELLY MCBRIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC
Contact information
Practice address
17473 ASHCOMB WAY, ESTERO, FL 33928-6517
(813) 291-4695
Mailing address
1208 WOODCHURCH LN, ST AUGUSTINE, FL 32092-5039
(904) 612-3109
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-46975
FL
Other
Enumeration date
11/12/2024
Last updated
11/12/2024
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