NPI | 1689004046 |
---|---|
Former Name | KENDALL HEMING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2365) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA2365) |
Enumeration Date | 2013-11-22 |
Last Update Date | 2023-08-17 |