| NPI | 1407102726 |
|---|---|
| Former Name | KELSIE ANN BREDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.13587) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.13587) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2024-11-15 |