Provider Demographics
NPI:1235853011
Name:LYNCH, KENEDA (IBCLC, MSN)
Entity Type:Individual
Prefix:
First Name:KENEDA
Middle Name:
Last Name:LYNCH
Suffix:
Gender:F
Credentials:IBCLC, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6878 TALAMORE DR
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33545-3432
Mailing Address - Country:US
Mailing Address - Phone:561-752-6249
Mailing Address - Fax:
Practice Address - Street 1:6878 TALAMORE DR
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33545-3432
Practice Address - Country:US
Practice Address - Phone:561-752-6249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-27
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLL306729163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty