| NPI | 1114253747 |
|---|---|
| Former Name | KELLY RAGAN BEFFERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 44194) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ R71108) |
| 208000000X Pediatrics (Licence: AZ 44194) | |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2017-04-03 |