| NPI | 1558731638 |
|---|---|
| Former Name | KELLY ANNE KLAPROTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA004147) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA057914) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2022-05-11 |