| NPI | 1669950598 |
|---|---|
| Former Name | LESLEY KENNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10003622A) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-08303) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2024-04-18 |