| NPI | 1497901961 |
|---|---|
| Former Name | ALLISON LEE KENYON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: RI NPP37559) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 003848) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2010-08-04 |