NPI | 1144520552 |
---|---|
Former Name | KRISTEN R NEVEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2082) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2010-11-01 |
Last Update Date | 2020-09-28 |