| NPI | 1497166862 |
|---|---|
| Former Name | KELLY A NOTTINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056871) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2021-04-15 |