Provider Demographics
NPI:1033909882
Name:FARRELL, KAITLYN PAIGE (RN, IBCLC, CLC)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:PAIGE
Last Name:FARRELL
Suffix:
Gender:F
Credentials:RN, IBCLC, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7846 AYERDAYL LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4436
Mailing Address - Country:US
Mailing Address - Phone:513-502-5609
Mailing Address - Fax:
Practice Address - Street 1:7846 AYERDAYL LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4436
Practice Address - Country:US
Practice Address - Phone:513-502-4943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHL-309394163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant