National Provider Identifier Database

KRISTIN M PELLETIER, IBCLC – NPI #1104343045
Lactation Consultant


Contact Information

KRISTIN M PELLETIER, IBCLC
2113 HIGHLAND RIDGE DR
PHOENIX, MD21131-1217
Phone: 410-443-0022
Fax:
Website:
Specialty Taxonomy Code
* Lactation Consultant 163WL0100X

* Indicates primary specialty

NPI Profile & details for KRISTIN M PELLETIER

NPI Number 1104343045
Credentials IBCLC
Entity Individual
Enumeration date 08/22/2017
Last updated 08/22/2017 - About 9 years ago
Sole proprietor1 No
Identifiers
  • CT License #: 085071
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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