| NPI | 1457827115 |
|---|---|
| Former Name | KELLY E HELVENSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA7879) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA061775) |
| 363A00000X Physician Assistant (Licence: IN 10002607A) | |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2021-04-02 |