Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly Sorensen, IBCLC

Individual provider Lactation Consultant (Non-RN) · NPI 1629513940

Kelly Sorensen, IBCLC is a Lactation Consultant (Non-RN) in Athol, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2016
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Practice location Address checks out

23582 Rapalla Ct
Athol, ID 83801-7002
Phone: (909) 553-2113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Lactation Consultant (Non-RN) (primary) Taxonomy 174N00000X · Licence L-110382 (ID)

Record details

NPI number1629513940
Entity typeIndividual (Type 1)
GenderFemale
Credentials IBCLC
Sole proprietorYes
NPI enumeratedDecember 21, 2016
Last updated in NPPESDecember 21, 2016