Alissa Michelle Oulman-Kirkpatrick, IBCLC

Individual provider Active NPI Lactation Consultant (Non-RN) · Crescent City, CA

NPI 1669038469 · NPPES record last updated May 16, 2019

Key facts

NPI
1669038469
Entity type
Individual (NPI type 1)
Primary specialty
Lactation Consultant (Non-RN) 174N00000X
License
L-95367 (CA)
Practice address
286 M St Ste C
Crescent City, CA 95531-4115
Phone
(707) 464-7293
Fax
(707) 464-6278
NPI assigned
May 16, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L-95367CAMDLactation Consultant (Non-RN)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN) 174N00000X L-95367 CA Yes

Addresses

Primary practice location

286 M St Ste C
Crescent City, CA 95531-4115

Mailing address

286 M St Ste C
Crescent City, CA 95531-4115
Phone (707) 464-7293

Other providers in Crescent City, CA

All providers in Crescent City, CA · Lactation Consultant (Non-RN) in California

Sources for this page

Verify at the official NPI Registry.