Individual
KAYLEE COSTA
Active
Individual
KAYLEE COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
CHW11514
MA
173C00000X
Reflexologist
—
MA
174N00000X
Lactation Consultant (Non-RN)
LC-LC-10272599
OR
174N00000X
Lactation Consultant (Non-RN)
Primary
—
MA
Other
Enumeration date
09/04/2024
Last updated
07/09/2026
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