| NPI | 1679718415 |
|---|---|
| Former Name | KELLY M MORRISSEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MN 79617) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.015265) |
| 207N00000X Dermatology (Licence: CO DR0052504) | |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2025-10-30 |