| NPI | 1356387872 |
|---|---|
| Other Name | KELLY A. HETHERINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: TX N2565) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SC LL25051) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2021-06-18 |