| NPI | 1265460505 |
|---|---|
| Former Name | KELLI LYNN TOWNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA03635) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WA PA10004877) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-08-30 |