NPI | 1497388243 |
---|---|
Former Name | KATHRYN L KELCHEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A157618) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A157618) |
Enumeration Date | 2020-02-20 |
Last Update Date | 2020-02-20 |