Healthcare Provider Details

I. General information

NPI: 1992595276
Provider Name (Legal Business Name): KAYLEE RABAJA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 07/31/2025
Certification Date: 07/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

545 BRENT LN
PENSACOLA FL
32503-2003
US

IV. Provider business mailing address

545 BRENT LN
PENSACOLA FL
32503-2003
US

V. Phone/Fax

Practice location:
  • Phone: 850-463-6970
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State

VIII. Authorized Official

Name: KAYLEE RABAJA
Title or Position: CEO
Credential: RN, IBCLC
Phone: 864-293-3958