| NPI | 1265927958 |
|---|---|
| Former Name | KELLY PURCELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD477838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA HS000293L) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2025-03-26 |