| NPI | 1588984819 |
|---|---|
| Former Name | KELLY J MCGLAUGHLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C1-0010404) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C7-0004540) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2016-01-01 |