Mrs Kendra Irene Desotel, RN, IBCLC is a
Registered Nurse - Lactation Consultant based in Dallas City, Illinois. Mrs Kendra Irene Desotel is licensed to practice in Iowa (license number 110838) and her current practice location is
1328 W 5th St, Dallas City, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 337-0703.
NPI number for Mrs Kendra Irene Desotel is 1215674841 and her current mailing address is 1328 W 5th St, Dallas City, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215674841.
Provider's Profile
Full Name | Mrs Kendra Irene Desotel |
---|
Gender | Female |
---|
Speciality | Registered Nurse - Lactation Consultant |
---|
Location | 1328 W 5th St, Dallas City, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215674841
- Provider Enumeration Date: 05/16/2022
- Last Update Date: 05/16/2022
Medical Identifiers
Medical identifiers for Mrs Kendra Irene Desotel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215674841 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WL0100X | Registered Nurse - Lactation Consultant | 110838 (Iowa) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kendra Irene Desotel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kendra Irene Desotel, RN, IBCLC 1328 W 5th St, Dallas City, IL 62330-1100 Ph: () - | Mrs Kendra Irene Desotel, RN, IBCLC 1328 W 5th St, Dallas City, IL 62330-1100 Ph: (309) 337-0703 |
Reviews and Comments