| NPI | 1598351462 |
|---|---|
| Former Name | KELLY ANN ALLMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2020042134) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013036117) |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 2020042134) | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2023-05-09 |