| NPI | 1063839512 |
|---|---|
| Former Name | KELLY ASHTON WALKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: WI 73658) |
| Additional Taxonomies | 208800000X Urology (Licence: DC MD210002361) |
| 208800000X Urology (Licence: CO 66518) | |
| 208800000X Urology (Licence: NJ 25MA11519700) | |
| 208800000X Urology (Licence: TX T8497) | |
| 208800000X Urology (Licence: GA 92218) | |
| 208800000X Urology (Licence: CA 138032) | |
| 208800000X Urology (Licence: NY 313160) | |
| Enumeration Date | 2014-03-22 |
| Last Update Date | 2022-08-25 |