NPI 1417401118

Laura Debra Vander Kelen, LMCPM

Practitioner Midwife Brandon, FL

Practice location

Address: 215 Lithia Pinecrest Rd, Brandon, FL 33511-5307
Phone: (813) 685-8404
Mailing address: 6931 Anderson St, New Port Richey, FL 34653-2502

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence MW335 (FL)

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Registry record

NPI: 1417401118
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Aug 2016
Record last updated: 14 May 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.