NPI 1629513940

Kelly Sorensen, IBCLC

Practitioner Lactation Consultant (Non-RN) Athol, ID

Practice location

Address: 23582 Rapalla CT, Athol, ID 83801-7002
Phone: (909) 553-2113

Registered specialties

Lactation Consultant (Non-RN) Primary

Other Service Providers Taxonomy 174N00000X Licence L-110382 (ID)

Other Lactation Consultant, Non-RN providers in Idaho →

Registry record

NPI: 1629513940
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2016
Record last updated: 21 Dec 2016

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.