| NPI | 1477097384 |
|---|---|
| Former Name | KELLY BALDRIGE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: WV 89220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WV 89220) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2022-04-12 |