Krishyon Young, IBCLC
Lactation Consultant, Non-RN in Pembroke, MA. Individual provider (NPI-1).
NPI number1649908005
StatusActive
Last updated in NPPESAug 12, 2022
Details
- NPI
- 1649908005
- Entity type
- Individual (NPI-1)
- Name
- Krishyon Young
- Credential
- IBCLC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2022
- Certification date
- Aug 12, 2022
- Last updated
- Aug 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174N00000X | Lactation Consultant, Non-RN | L-307119 | MA | Yes |
| 374J00000X | Doula | 11261 | MA |
Practice location
68 Oldham StPembroke, MA 02359-2524
Phone 781-964-5626
Mailing address
68 Oldham StPembroke, MA 02359-2524
Phone 781-964-5626
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.