NPI | 1700211687 |
---|---|
Former Name | KENDALL A WELKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003871RX) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
Enumeration Date | 2013-09-10 |
Last Update Date | 2022-08-03 |