Whalio Doctors

NPI 1962087395

Lydia Lizeth Kennedy, NUTRITIONISTIBCLC

Practitioner Lactation Consultant (Non-RN) Springfield, MO

Practice location

Address
4750 E Royal Dr, Springfield, MO 65809-2422
Phone
(417) 406-6107

Registered specialties (4)

Lactation Consultant (Non-RN) Primary
Other Service Providers Taxonomy 174N00000X Licence L-302127 (MO)
Nutritionist
Dietary & Nutritional Service Providers Taxonomy 133N00000X
Nutrition Education Nutritionist
Dietary & Nutritional Service Providers Taxonomy 133NN1002X
Lactation Consultant (Non-RN)
Other Service Providers Taxonomy 174N00000X

Registry record

NPI
1962087395
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Mar 2021
Record last updated
17 Mar 2021

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.