| Doctor Name: | MRS. VICTORIA KLAETSCH |
| NPI Number: | 1265880926 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN, RN, IBCLC |
| License Number: | L50867 |
| Business Practice Address: | 112 Englewood Rd Cammack Village, AR - 722071802 |
| Business Phone Number: | 5012583435 |
| Business Fax Number: | |
| Mailing Address: | 112 Englewood Rd, CAMMACK VILLAGE |
| State: | AR |
| Postal Code: | 722071802 |
| Phone Number: | 5012583435 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2016 |
| NPI Last Update Date: | 06/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WL0100X |
| License Number: | L50867 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Lactation Consultant |
| Taxonomy Definition: | |