| NPI | 1235480724 |
|---|---|
| Former Name | MEGAN LYNN KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: IN 10001467A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001467A) |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2022-06-16 |