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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KRYSTAL LYNN KOUDER, RN, IBCLC

Deactivated Sole Proprietor

KRYSTAL LYNN KOUDER, RN, IBCLC is a Lactation Consultant Nurse healthcare provider located in CEDAR LAKE, Indiana. NPI 1639831860 is deactivated in the NPPES registry. Verify at CMS.

Lactation Consultant Nurse · CEDAR LAKE, IN

This NPI has been deactivated. The record was deactivated on November 30, 2021. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1639831860
Provider Type
Individual
Gender
Female
NPI Issued
Oct 5, 2021 (0.15342465753425 yrs)
Last Updated
Mar 22, 2022
Deactivated
Nov 30, 2021
License
28156517A (IN)
Sole Proprietor
Yes

Practice Information

Address
5843 TAHOE PL
CEDAR LAKE, IN, 463030676
Browse IN providers · Browse ZIP 46303
Phone
8437439099
Primary Specialty
Lactation Consultant Nurse
163WL0100X
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.