NPI | 1558451781 |
---|---|
Professional Name | KELLY SCOTT DEMELE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9190390) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024175383) |
363LF0000X Nurse Practitioner, Family (Licence: IA A177745) | |
363LF0000X Nurse Practitioner, Family (Licence: MI 4704335452) | |
363LF0000X Nurse Practitioner, Family (Licence: WA 60769944) | |
Enumeration Date | 2006-10-16 |
Last Update Date | 2025-03-19 |