| NPI | 1649522277 |
|---|---|
| Former Name | KELLY LYNN SEBOLD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MD R179105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: DC RN1008834) |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-05 |