Individual
MS. KELLI SHEARRON BLINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.L.C.
Contact information
Practice address
2675 DEMING AVE, COLUMBUS, OH 43202-2444
(614) 395-3792
Mailing address
2675 DEMING AVE, COLUMBUS, OH 43202-2444
(614) 395-3792
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
202793
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202793
ALPP
OH
Enumeration date
01/12/2015
Last updated
01/12/2015
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