| NPI | 1588040984 |
|---|---|
| Former Name | KELLY SEAMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 76964) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 76964) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2018-11-20 |