| NPI | 1033319439 |
|---|---|
| Former Name | COLLEEN M O'KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD60096012) |
| Additional Taxonomies | 208600000X Surgery (Licence: NV 23876) |
| 208600000X Surgery (Licence: WA ML20008982) | |
| 208600000X Surgery (Licence: NY 283827) | |
| 208600000X Surgery (Licence: CA A135991) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2025-12-01 |