| NPI | 1659482420 |
|---|---|
| Other Name | MARY ANNE KEGLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA G87180) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101048930) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-05-08 |