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Kelly Macmillan, RN,IBCLC
Lactation Consultant (Registered Nurse) in Canandaigua, New York
NPI 1477165835

Kelly Macmillan is a Lactation Consultant (Registered Nurse) based in Canandaigua, NY and is specialized in Lactation Consultant. Kelly Macmillan practices in Canandaigua, NY and has the professional credentials of RN,IBCLC. The NPI Number for Kelly Macmillan is 1477165835 and holds a License No. 674991-1 (New York).

The current practice location address for Kelly Macmillan is 44 Bristol St, Canandaigua, NY and can be reached out via phone at 585-206-1189.

Location: 44 Bristol St, Canandaigua, NY, 14424-1690
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477165835
Provider Name
Kelly Macmillan
Credential
RN,IBCLC
Provider Entity Type
Individual
Gender
Female
Address
44 Bristol St, Canandaigua, NY, 14424-1690
Phone Number
585-206-1189
Fax Number
Provider Enumeration Date
08/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15678017 01 CAQH
institution
Provider Business Practice Location Address Details
Address
44 Bristol St
City
Canandaigua
State
New York
Zip
14424-1690
Phone Number
585-206-1189
Fax Number
person
Provider Business Mailing Address Details
Address
44 Bristol St
City
Canandaigua
State
New York
Zip
14424-1690
Phone Number
585-206-1189
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Lactation Consultant
Taxonomy
163WL0100X
License No.
674991-1 (New York)
Definition
Definition to come...
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