| NPI | 1568807907 |
|---|---|
| Former Name | JENNIFER CHRISTINE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OH COA.13835-NP) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2015-02-10 |