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KELLY KRISTIN GAUDREAU RN
NPI 1063128866
Registered Nurse - Lactation Consultant in Issaquah, WA

Active since January 25, 2023
751 NE BLAKELY DR, ISSAQUAH, WA 98029(425) 313-2377 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Kristin Gaudreau Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY KRISTIN GAUDREAU RN (NPI 1063128866) is an individual lactation consultant provider in Issaquah, Washington, licensed in Washington (L-157390) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1063128866
Entity TypeIndividualFemale
Primary Taxonomy163WL0100X
Provider Legal NameKELLY KRISTIN GAUDREAUCredential: RN
Location Address751 NE BLAKELY DRIssaquah, WA 98029-6201
Mailing Address751 Ne Blakely DrIssaquah, WA 98029-6201 · (425) 313-2377
Phone(425) 313-2377
Sole ProprietorNo
Enumeration DateJanuary 25, 2023
NPPES CertifiedJanuary 25, 2023
✔ NPI 1063128866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers
Taxonomy Code163WL0100X
License✔ Licensed in WA · L-157390
751 NE BLAKELY DR, Issaquah, WA 98029
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN LIN HART MD
Emergency Medicine
751 NE BLAKELY DR
ISSAQUAH, WA 98029
King County (425) 313-4000
MS. LAURA SANDERSON CNM
Advanced Practice Midwife
751 NE BLAKELY DR, FL 3
ISSAQUAH, WA 98029
King County (425) 313-4141
DR. MORGAN M WISE D.O.
Emergency Medicine
751 NE BLAKELY DR
ISSAQUAH, WA 98029
King County (425) 313-4000
JENNIFER VAN DYKE PHARMD
Pharmacist
751 NE BLAKELY DR
ISSAQUAH, WA 98029
King County (425) 313-5510
DR. DAVID DONG M.D.
Internal Medicine (Medical Oncology)
751 NE BLAKELY DR, 1090
ISSAQUAH, WA 98029
King County (425) 313-4200
JUDITH TIA MARTIN L.M.P.
Massage Therapist
751 NE BLAKELY DR, SUITE 3020
ISSAQUAH, WA 98029
King County (253) 377-8933
JAMES F SPIEGEL M.D.
Radiology (Radiation Oncology)
751 NE BLAKELY DR, STE 1090
ISSAQUAH, WA 98029
King County (425) 313-4200
MONROE THERAPEUTIC MASSAGE PS
Massage Therapist
751 NE BLAKELY DR
ISSAQUAH, WA 98029
King County (425) 455-0088

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Gaudreau's NPI number?

The NPI number for Kelly Gaudreau is 1063128866. It was assigned to this individual provider in the NPPES registry on January 25, 2023.

Where is Kelly Gaudreau located?

Kelly Gaudreau practices at 751 NE Blakely Dr, Issaquah, WA 98029. The listed phone number is (425) 313-2377.

What is Kelly Gaudreau's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Lactation Consultant, with taxonomy code 163WL0100X.

When was this NPI record last updated?

The NPPES record for Kelly Gaudreau was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.