| NPI | 1346657962 |
|---|---|
| Former Name | KELSEY A TALLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 017693) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 17693) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2023-06-30 |