| NPI | 1417914359 |
|---|---|
| Former Name | KATHRYN M KIELTY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MA 1291) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA 1291) |
| 363AS0400X Physician Assistant, Surgical (Licence: MA 1291) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-03-01 |