Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | L-94970 | AZ |
NPI | 1033653456 |
---|---|
Provider Name | Carol Kidd |
First Address | Phoenix, AZ 85086-4328 |
Second Address | Phoenix, AZ 85086-4328 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/12/2016 |
Last Update Date | 05/12/2016 |