| NPI | 1659518280 |
|---|---|
| Former Name | KELLY MARIE KESTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 0914) |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NH 0914) |
| 363A00000X Physician Assistant (Licence: OH 50.002859) | |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2020-05-27 |