NPI | 1174056428 |
---|---|
Former Name | MELISSA LYNN MCKITTRICK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-50318) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2024048372) |
207LP2900X Anesthesiology, Pain Medicine (Licence: KS 04-50318) | |
208VP0000X (Licence: TN 58624) | |
207L00000X Anesthesiology (Licence: TN 58624) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2024048372) | |
207LP2900X Anesthesiology, Pain Medicine (Licence: TN 58624) | |
Enumeration Date | 2017-04-04 |
Last Update Date | 2025-09-09 |