| NPI | 1497910814 |
|---|---|
| Former Name | KELLY A MEAGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085-003118) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IL 085003118) |
| Enumeration Date | 2008-07-24 |
| Last Update Date | 2025-09-29 |