Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 337310 | CO |
NPI | 1225791148 |
---|---|
Provider Name | Jessica Kinsman |
First Address | Colorado Springs, CO 80920-7057 |
Second Address | Colorado Springs, CO 80920-7057 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2021 |
Last Update Date | 18/10/2021 |