Provider Demographics
NPI:1932458031
Name:HOLMES, JCHEMELA KIEKI (CLC, IBCLC)
Entity Type:Individual
Prefix:MS
First Name:JCHEMELA
Middle Name:KIEKI
Last Name:HOLMES
Suffix:
Gender:F
Credentials:CLC, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:860 COLUMBUS AVE
Mailing Address - Street 2:7H
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:917-721-6861
Mailing Address - Fax:
Practice Address - Street 1:860 COLUMBUS AVE
Practice Address - Street 2:7H
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:917-721-6861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN