| NPI | 1578971974 |
|---|---|
| Former Name | KELLY BLYTHE PARTIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: HI APRN-2924) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3008736) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3008736) | |
| Enumeration Date | 2014-07-29 |
| Last Update Date | 2020-08-04 |