| NPI | 1578971974 |
|---|---|
| Former Name | KELLY BLYTHE PARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3008736) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-01008) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN-2924) | |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 3008736) | |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2025-09-11 |