| NPI | 1417290388 |
|---|---|
| Former Name | KELSEY M. HANKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 017542) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0005673) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2024-11-05 |