| NPI | 1669898433 |
|---|---|
| Former Name | KELLIE E LINGERFELT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18307) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 171559) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2019-05-07 |