Provider Demographics
NPI:1760280762
Name:KIHN, ALEXIS ANNA (IBCLC RN)
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:ANNA
Last Name:KIHN
Suffix:
Gender:
Credentials:IBCLC RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6933 SARONI DR
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-1416
Mailing Address - Country:US
Mailing Address - Phone:510-502-2570
Mailing Address - Fax:
Practice Address - Street 1:6933 SARONI DR
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-1416
Practice Address - Country:US
Practice Address - Phone:510-502-2570
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA698030163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant