| NPI | 1467985648 |
|---|---|
| Former Name | KELLY WARE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: KY 57135) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY TP021) |
| 207P00000X Emergency Medicine (Licence: DE C7-0006532) | |
| 207R00000X Internal Medicine (Licence: DE C7-0006532) | |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2023-05-26 |