Provider Demographics
NPI:1689872053
Name:KURTYKA, APRIL MICHELLE (IBCLC)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:MICHELLE
Last Name:KURTYKA
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 INDIANAPOLIS AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92646-5006
Mailing Address - Country:US
Mailing Address - Phone:714-878-1889
Mailing Address - Fax:
Practice Address - Street 1:8101 INDIANAPOLIS AVE
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92646-5006
Practice Address - Country:US
Practice Address - Phone:714-878-1889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-06
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist