Individual
MARIANNE KMAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, IBCLC
Contact information
Practice address
8200 S QUEBEC ST, A-12, CENTENNIAL, CO 80112-4411
(303) 741-2550
(720) 230-4898
Mailing address
7431 S IVY WAY, CENTENNIAL, CO 80112-1509
(720) 219-2994
(720) 230-4898
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
0091589
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163WL0100X
RN, IBCLC
CO
Enumeration date
01/14/2013
Last updated
01/14/2013
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