Provider Demographics
NPI:1356035455
Name:KINSEL, CAILEN (BSN, RN, IBCLC)
Entity type:Individual
Prefix:
First Name:CAILEN
Middle Name:
Last Name:KINSEL
Suffix:
Gender:F
Credentials:BSN, RN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:943 STILES CT
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-3301
Mailing Address - Country:US
Mailing Address - Phone:760-522-8958
Mailing Address - Fax:
Practice Address - Street 1:943 STILES CT
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-3301
Practice Address - Country:US
Practice Address - Phone:760-522-8958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-309606163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant