Hillary Maria Kelly, IBCLC
Individual provider Active NPI Lactation Consultant (Non-RN) · Petersburg, IL
NPI 1699549006 · NPPES record last updated Nov 7, 2023
Key facts
- NPI
- 1699549006
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Lactation Consultant (Non-RN) 174N00000X
- License
- L-311402 (IL)
- Practice address
- 15909 Pin Hook Ave
Petersburg, IL 62675-6670 - Phone
- (217) 671-9635
- NPI assigned
- Nov 7, 2023
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| L-311402 | IL | MD | Lactation Consultant (Non-RN) |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-311402 | IL | Yes |
Addresses
Primary practice location
15909 Pin Hook Ave
Petersburg, IL 62675-6670
Mailing address
15909 Pin Hook Ave
Petersburg, IL 62675-6670
Phone (217) 671-9635
Other providers in Petersburg, IL
- Healthcare Network Associates
- Healthcare Network Associates
- Amanda Hill
- Thelma Hinton
- Mary N Hollis
- Katherine A Krall
- Amanda L. Meeks
- Memorial Physician Services
- Menard Convalescent Center, Inc
- Menard Convalescent Center, Inc
All providers in Petersburg, IL · Lactation Consultant (Non-RN) in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.