| NPI | 1467221002 |
|---|---|
| Former Name | KENDALL RAE KEPHART |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 147940) |
| Enumeration Date | 2023-12-22 |
| Last Update Date | 2023-12-22 |