| NPI | 1235659640 |
|---|---|
| Former Name | KELLY MARGARET REDLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SC 90534) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 86312) |
| 207Q00000X Family Medicine (Licence: SC LL51166) | |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2024-01-16 |