| NPI | 1144495250 |
|---|---|
| Former Name | KELLY A. MANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11011642) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 507916-1) |
| 207P00000X Emergency Medicine (Licence: NY 304842) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304842-1) | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2021-07-21 |