| NPI | 1275822447 |
|---|---|
| Former Name | ERINN ELIZABETH KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.003542) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 1965) |
| 363AS0400X Physician Assistant, Surgical (Licence: TN 1965) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2021-07-22 |