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NPI Code Detail

MEDICARE: HOMETOWN LACTATION, L.L.C.

MEDICARE: HOMETOWN LACTATION, L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QH0100XHealth Service Clinic/Center

General Provider Information

NPI Number : 1376324277
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOMETOWN LACTATION, L.L.C.
Provider Business Mailing Address
First Line : 2015 BRASSFIELD RD
Second Line :
City : RICHMOND
State : KY
Zip : 40475-7500
Country : US
Telephone Number : 812-240-8797
Fax Number : 855-975-2722
Provider Business Practice Location Address
First Line : 124 S KEENELAND DR
Second Line :
City : RICHMOND
State : KY
Zip : 40475-3279
Country : US
Telephone Number : 812-240-8797
Fax Number : 855-975-2722
Authorized Official
Title or Position : OWNER
Name : ASHLEY RHIANNON KESTER
Credential : RN MSN, IBCLC
Telephone Number : 812-240-8797
Provider Enumeration Date : 10/09/2023
Last Update Date : 10/09/2023

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Directions to “HOMETOWN LACTATION, L.L.C. ” Practice Location

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