Individual
KELLY LEI VREDENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
520 HARLAND DR, MANHATTAN, KS 66503-9209
(218) 760-5225
Mailing address
520 HARLAND DR, MANHATTAN, KS 66503-9209
(218) 760-5225
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
241479
MN
Other
Enumeration date
07/23/2016
Last updated
07/23/2016
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