| NPI | 1225548449 |
|---|---|
| Former Name | KELLY MICHELLE COLEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: GA 8657) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 8657) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2024-07-30 |