| NPI | 1457793911 |
|---|---|
| Other Name | LAUREN A KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA.4751) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MA PA4751) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2024-10-16 |