IndividualActive
Ellen Kiss, RN, BSN, IBCLC
NPI 1710290853 · Lactation Consultant (Registered Nurse) · Edmond, OK
Provider details
- NPI number
- 1710290853
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN, BSN, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- R63740 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
19129 Green Springs Dr
Edmond, OK 73012-9768
Phone: (405) 760-6931
Approximate (ZIP-level) locationGet directions
Mailing address
19129 Green Springs Dr
Edmond, OK 73012-9768
Registry dates
- Enumerated
- 2010-07-19
- Last updated
- 2010-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.