Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-61775 | KY |
NPI | 1245729722 |
---|---|
Provider Name | Brandi Kay Erskine |
First Address | Falmouth, KY 41040-8201 |
Second Address | Falmouth, KY 41040-8201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2018 |
Last Update Date | 09/05/2018 |