| NPI | 1497163034 |
|---|---|
| Former Name | KELLY ELIZABETH BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008783) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008783) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2022-03-21 |