| NPI | 1558344812 |
|---|---|
| Former Name | KELLI R. SHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 1735) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO 1735) |
| 363AS0400X Physician Assistant, Surgical (Licence: WY 481) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2018-01-02 |