| NPI | 1245268754 |
|---|---|
| Other Name | COLLEEN R. KELLY-PERKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: KS 1500630) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AS0400X Physician Assistant, Surgical (Licence: MO 119557) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-05-17 |