| NPI | 1104025279 |
|---|---|
| Former Name | KELLY N FELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics (Licence: WI 54885) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036-117262) |
| 208000000X Pediatrics (Licence: MN 60515) | |
| 208000000X Pediatrics (Licence: WI 54885-021) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2021-02-10 |