| NPI | 1659618163 |
|---|---|
| Former Name | KELLY ANN KAIGHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DE L1-0039390) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DE LG0000640) |
| Enumeration Date | 2013-01-04 |
| Last Update Date | 2019-09-04 |