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Maya Radoccia-Kennen

Lactation Consultant

510 Main St
Clarkdale , Arizona 86324

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Maya Radoccia-Kennen

Lactation Consultant

510 Main St
Clarkdale , Arizona 86324

(928) 301-3274

Write a Review Save Call

Maya Radoccia-Kennen

Lactation Consultant

510 Main St
Clarkdale , Arizona 86324

(928) 301-3274 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Lactation Consultant

Languages spoken

  • English

Location

510 Main St Clarkdale , Arizona 86324

First Address

  • Maya Radoccia-Kennen
  • Po Box 225
  • Clarkdale, AZ
  • Zip : 86324-0225
  • Phone : (928) 301-3274

Second Address

  • Maya Radoccia-Kennen
  • 510 Main St
  • Clarkdale, AZ
  • Zip : 86324
  • Phone : (928) 301-3274

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FAQs


Where did Maya Radoccia-Kennen attend graduate school?

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Where did Maya Radoccia-Kennen do her residency?

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Where did Maya Radoccia-Kennen do her fellowship?

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Is Maya Radoccia-Kennen board certified?

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What type of doctor is Maya Radoccia-Kennen

Lactation Consultant

In what state does Maya Radoccia-Kennen practice in?

Arizona

Where is Maya Radoccia-Kennen ’s practice located?

510 Main St , Clarkdale, Arizona, 86324

What is Maya Radoccia-Kennen ’s gender?

Female

Is Maya Radoccia-Kennen a sole practitioner?

No

Is Maya Radoccia-Kennen accepting new patients?

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What languages does Maya Radoccia-Kennen speak?

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Does Maya Radoccia-Kennen accept insurance?

Yes, Maya Radoccia-Kennen accepts insurance

Does Maya Radoccia-Kennen offers telemedicine?

Maya Radoccia-Kennen has not indicated if she offers telemedicine

What is Maya Radoccia-Kennen ’s professional license number?

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What is Maya Radoccia-Kennen ’s NPI number?

1053797159

Does Maya Radoccia-Kennen have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 174N00000X Lactation Consultant

National Provider Identifier

NPI 1053797159
Provider Name Maya Radoccia-Kennen
First Address Clarkdale, AZ 86324-0225
Second Address Clarkdale, AZ 86324
Gender F
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 31/07/2015
Last Update Date 31/07/2015

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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