NPI | 1376871426 |
---|---|
Former Name | KELSEY CHARLOTTE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1333) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001499A) |
Enumeration Date | 2009-12-01 |
Last Update Date | 2024-02-20 |