Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 174N00000X | Lactation Consultant | 11146140 | NJ |
NPI | 1346623915 |
---|---|
Provider Name | Nicole Kekesi |
First Address | Columbus, NJ 08022-2257 |
Second Address | Columbus, NJ 08022-2257 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2015 |
Last Update Date | 01/07/2015 |