| NPI | 1265102834 |
|---|---|
| Former Name | MEGHAN LEIGH KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11013105) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11013105) |
| Enumeration Date | 2021-09-15 |
| Last Update Date | 2021-12-01 |