Individual
KELLIE ANN GEARLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 J CARTER RD, GLASGOW, KY 42141-8457
(270) 427-6773
Mailing address
1101 J CARTER RD, GLASGOW, KY 42141-8457
(270) 427-6773
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
1097603
KY
Other
Enumeration date
11/30/2024
Last updated
11/30/2024
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