| NPI | 1316226384 |
|---|---|
| Former Name | JAN MICHELLE KEHRES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.003658) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: PA MA055065) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA055065) | |
| 363AM0700X Physician Assistant, Medical (Licence: OH 50.003658) | |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2016-07-08 |