Provider Demographics
NPI:1700341898
Name:KUEHL, RACHELE (IBCLC)
Entity type:Individual
Prefix:
First Name:RACHELE
Middle Name:
Last Name:KUEHL
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 1:325 HILLVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-3218
Mailing Address - Country:US
Mailing Address - Phone:414-750-9335
Mailing Address - Fax:
Practice Address - Street 1:325 HILLVIEW CIR
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-3218
Practice Address - Country:US
Practice Address - Phone:414-750-9335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIL-60268163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant