| NPI | 1598132979 |
|---|---|
| Former Name | PAMELA LOUISE KENNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172489) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3009401) |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2024-03-12 |