| NPI | 1417954470 |
|---|---|
| Former Name | KELLY MICHELE BINSTOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: SD 5248) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: IA 48874) |
| 207N00000X Dermatology (Licence: IA 48874) | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: SD 5248) | |
| Enumeration Date | 2005-07-06 |
| Last Update Date | 2025-05-16 |