| NPI | 1275730566 |
|---|---|
| Former Name | KELLIE R HAMMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OH COA.09494-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OH RN227-299) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2017-10-05 |