| NPI | 1225283153 |
|---|---|
| Former Name | KELLY WHETSTONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60048667) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 143462) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2020-04-13 |