National Provider Identifier

Kelly Macmillan, RN, IBCLC

Kelly Macmillan, RN, IBCLC is listed in the NPPES registry with a primary specialty of Lactation Consultant (Registered Nurse) in Canandaigua, NY and a listed phone number of (585) 206-1189.

NPI 1477165835Canandaigua, NYLactation Consultant (Registered Nurse)

Profile Overview

NPI
1477165835
Provider Type
Individual
Primary Specialty
Lactation Consultant (Registered Nurse)
Enumeration Date
August 18, 2020
Last Updated
November 01, 2022

Practice Location

  • 44 Bristol St
  • Canandaigua, NY 14424-1690

Phone: (585) 206-1189

Specialties

  • Lactation Consultant (Registered Nurse) (163WL0100X)
Full Record
NPI
1477165835
Entity Type
Individual
Last Name
Macmillan
First Name
Kelly
Credential
RN, IBCLC
Mailing Street Address
44 Bristol St
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424-1690
Mailing Country
US
Mailing Phone
(585) 206-1189
Practice Street Address
44 Bristol St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-1690
Practice Country
US
Practice Phone
(585) 206-1189
Enumeration Date
August 18, 2020
Last Updated
November 01, 2022
Sex
Female
Sole Proprietor
No
Certification Date
November 01, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Lactation Consultant (Registered Nurse) (163WL0100X)
Other Identifiers
15678017 (Caqh)