Search › Idaho › 174N00000X
Kelly Sorensen, IBCLC
NPI 1629513940 · on the registry since 2016 · sole proprietor
Practice
- Address
- 23582 Rapalla Ct
Athol, ID 83801 - Phone
- (909) 553-2113
Registry record
- Primary taxonomy
- 174N00000X
174N00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho