Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY SORENSEN, IBCLC
Active Sole ProprietorKELLY SORENSEN, IBCLC is a Lactation Consultant healthcare provider located in ATHOL, Idaho. NPI 1629513940 is currently active in the NPPES registry. Verify at CMS.
Lactation Consultant · ATHOL, ID
Registration Details
- NPI Number
- 1629513940
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 21, 2016 (9.6284121207292 yrs)
- Last Updated
- Dec 21, 2016
- License
-
L-110382 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
23582 RAPALLA CTATHOL, ID, 838017002Browse ID providers · Browse ZIP 83801
- Phone
- 9095532113
- Primary Specialty
-
Lactation Consultant
174N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.