Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant |
NPI | 1245815992 |
---|---|
Provider Name | Sarah Drennan Kelly |
First Address | Hummelstown, PA 17036-7208 |
Second Address | Hummelstown, PA 17036-7208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2021 |
Last Update Date | 15/03/2021 |