IndividualActive
Carol Kidd, BA, IBCLC
NPI 1033653456 · Lactation Consultant (Non-RN) · Phoenix, AZ
Provider details
- NPI number
- 1033653456
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- BA, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-94970 (AZ)
Specialties & taxonomies
Other Service Providers
Practice location
3424 W Tanya Trl
Phoenix, AZ 85086-4328
Phone: (602) 888-1969
Approximate (ZIP-level) locationGet directions
Mailing address
3424 W Tanya Trl
Phoenix, AZ 85086-4328
Registry dates
- Enumerated
- 2016-12-05
- Last updated
- 2024-07-01
- Certified
- 2024-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.