Provider Demographics
NPI:1225854029
Name:METZLER, KAYLEE MARIE (RN, IBCLC)
Entity type:Individual
Prefix:
First Name:KAYLEE
Middle Name:MARIE
Last Name:METZLER
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 1:60 CLARKSBURG RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15725-8128
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:60 CLARKSBURG RD
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:PA
Practice Address - Zip Code:15725-8128
Practice Address - Country:US
Practice Address - Phone:724-388-4913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN719155163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation ConsultantGroup - Single Specialty