| NPI | 1093118622 |
|---|---|
| Former Name | KELLY MARIE KAMMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH COA.16262-NP) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: OH RX.16262-EX1) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OH RN.338227-COA1) | |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2017-02-24 |