NPI | 1457701419 |
---|---|
Other Name | KELSEY M DAVIS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 201734707) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125.069458) |
Enumeration Date | 2016-06-20 |
Last Update Date | 2022-08-03 |