Jessica M. Kan, CLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

232655 Issued in KY

Practice address

18697 Mila Marie Dr
Louisville, KY 40245-5387

Phone

(434) 610-8376

NPI assigned

Oct 17, 2023

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1063294726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18697 MILA MARIE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455387",
            "telephone_number": "434-610-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18697 MILA MARIE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402455387",
            "telephone_number": "434-610-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAN",
        "first_name": "JESSICA",
        "middle_name": "M.",
        "credential": "CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "KY",
            "license": "232655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Elise Kamenec, D.O.
• Cynthia Marie Kamer, LCSW
• James M Kammerling, MD
• Kelli Michele Kamousi, APRN
• Erica Robinson Kampsen, NP-C
• Sunitha Kanchi Kandadai, M.D.
• Sarah Anne Kande, DMD
• Alexandria Renee Kandel
• Kevin P Kane, MD
• Sarah M. Kane, MD

• Lactation Consultant (Non-RN) in Louisville, KY
• Providers in Louisville, KY by specialty
• Lactation Consultant (Non-RN) in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.