NPI | 1700321072 |
---|---|
Former Name | KELSEY A. CHIPMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-77523-101) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-120650-101) |
Enumeration Date | 2016-12-22 |
Last Update Date | 2023-12-14 |