IndividualActive
Kaely Thompson, RN, IBCLC
NPI 1982211579 · Lactation Consultant (Registered Nurse) · Eagle, ID
Provider details
- NPI number
- 1982211579
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Registered Nurse)Nursing Service Providers
- Credential
- RN, IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- License
- L-144124 (ID)
Specialties & taxonomies
Nursing Service Providers
Practice location
4389 W Agave St
Eagle, ID 83616-5308
Phone: (208) 670-8704
Approximate (ZIP-level) locationGet directions
Mailing address
4389 W Agave St
Eagle, ID 83616-5308
Registry dates
- Enumerated
- 2020-09-28
- Last updated
- 2020-09-28
- Certified
- 2020-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.