MEDICARE: KAYLEE RABAJA BSN, RN, IBCLC

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
1	174N00000X	Lactation Consultant (Non-RN)
2	163WL0100X	Lactation Consultant (Registered Nurse)	9566484	FL

General Provider Information

NPI Number	:	1902675713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAYLEE RABAJA BSN, RN, IBCLC

Provider Business Mailing Address
First Line	:	545 BRENT LN
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2003
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	545 BRENT LN
Second Line	:
City	:	PENSACOLA
State	:	FL
Zip	:	32503-2003
Country	:	US
Telephone Number	:	864-293-3958
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2023
Last Update Date	:	05/06/2026

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