Healthcare Provider Details

I. General information

NPI: 1902675713
Provider Name (Legal Business Name): KAYLEE RABAJA BSN, RN, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2023
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: 864-293-3958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number9566484
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: