Doctor Name: | KRISTIN NICOLE GLOVER |
NPI Number: | 1346570629 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | IBCLC,RLC |
License Number: | 10987585 |
Business Practice Address: | 602 N Mckinley Marlow, OK - 730555017 |
Business Phone Number: | 5806589929 |
Business Fax Number: | |
Mailing Address: | 602 N Mckinley, MARLOW |
State: | OK |
Postal Code: | 730555017 |
Phone Number: | 5806589929 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2010 |
NPI Last Update Date: | 01/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WL0100X |
License Number: | 10987585 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Lactation Consultant |
Taxonomy Definition: |