Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 11245264 | MO |
NPI | 1326483025 |
---|---|
Provider Name | Jennifer S Cauble |
First Address | Kansas City, MO 64155-2233 |
Second Address | Kansas City, MO 64155-2233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2013 |
Last Update Date | 08/05/2013 |