SUMMER GLYNN KELLY RN BSN IBCLC LCCE NPI 1457765075

NPI Information

NPI: 1457765075
Provider Name: SUMMER GLYNN KELLY, RN, BSN, IBCLC, LCCE
Classification: Registered Nurse - 163WL0100X
Entity Type: Individual

Specialization: Lactation Consultant

Address:
4828 N NEENAH AVE
CHICAGO, IL
ZIP 60656
Phone: (773) 316-4017
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Summer Glynn Kelly, RN, BSN, IBCLC, LCCE is a lactation consultant registered nurse in Chicago, IL. Summer Glynn Kelly, RN, BSN, IBCLC, LCCE NPI is 1457765075. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4828 N NEENAH AVE
CHICAGO, IL
ZIP 60656-018
Phone: (773) 316-4017
Fax: (773) 341-1597

The enumeration date for this NPI number is 6/12/2014 and was last updated on 6/12/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0102X	Registered Nurse	Maternal Newborn	041348560	ILLINOIS	No
2	163WL0100X	Registered Nurse	Lactation Consultant	041348560	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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