| NPI | 1356717839 |
|---|---|
| Former Name | KALEY B BRACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10004160A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MI 5601012068) |
| 363AS0400X Physician Assistant, Surgical (Licence: GA 11953) | |
| 363AS0400X Physician Assistant, Surgical (Licence: FL 9108931) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2025-03-24 |