| NPI | 1528266053 |
|---|---|
| Other Name | KELLY BRIANNE MAHANEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A149898) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: IA R8192) |
| 207T00000X Neurological Surgery (Licence: IA 41124) | |
| 207T00000X Neurological Surgery (Licence: VA 0101258492) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2017-11-20 |