| NPI | 1528318565 |
|---|---|
| Former Name | MEGHAN CHRISTINA KENNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 0915) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: NV PA1453) |
| Enumeration Date | 2012-09-18 |
| Last Update Date | 2016-10-12 |