| NPI | 1528570892 |
|---|---|
| Former Name | KELLY LOUVIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3405) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 327683) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2025-04-24 |