| NPI | 1558695783 |
|---|---|
| Former Name | KELLY WELCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP111042) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME RN62266) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2014-04-08 |