| NPI | 1265961635 |
|---|---|
| Former Name | KIMBERLEE MARIE KRAYNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2025-11-07 |