| NPI | 1063495711 |
|---|---|
| Former Name | KELLY R HUTTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 54723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 1358880051) |
| 163W00000X Registered Nurse (Licence: MO 115622) | |
| 363L00000X Nurse Practitioner (Licence: KS 54723) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 115622) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2019-08-27 |