| NPI | 1497219398 |
|---|---|
| Former Name | KELLY GODBEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-02349) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2020025180) |
| Enumeration Date | 2019-01-24 |
| Last Update Date | 2023-08-11 |