| NPI | 1518516095 |
|---|---|
| Former Name | KELSEY JEANNE HUSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AK 171479) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: AK 171479) |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2024-12-30 |