| NPI | 1417488222 |
|---|---|
| Former Name | KELLY RENEE BIEDENHARN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KY TP658) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2020-11-09 |