Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1093174468 |
---|---|
Provider Name | Mrs. Kesha Maria Chiappinelli |
First Address | Little Rock, AR 72202-4966 |
Second Address | Little Rock, AR 72202-4966 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2016 |
Last Update Date | 03/05/2016 |