| NPI | 1255865895 |
|---|---|
| Former Name | KELLY ANNE HARMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery Pediatric Orthopaedic Surgery (Licence: KY 58034) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: OH 35.145052) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351029354) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2023-09-01 |