| NPI | 1053713776 |
|---|---|
| Former Name | KRISTY KUEHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9384904) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CO 0990511) |
| Enumeration Date | 2014-09-25 |
| Last Update Date | 2018-07-21 |