Provider Demographics
NPI:1669132882
Name:MCELROY, KAITLYN E (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:E
Last Name:MCELROY
Suffix:
Gender:F
Credentials:RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 PALMER RD
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-1160
Mailing Address - Country:US
Mailing Address - Phone:978-727-2295
Mailing Address - Fax:
Practice Address - Street 1:5 PALMER RD
Practice Address - Street 2:
Practice Address - City:PEPPERELL
Practice Address - State:MA
Practice Address - Zip Code:01463-1160
Practice Address - Country:US
Practice Address - Phone:978-727-2295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-29
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH071875-21163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant