| NPI | 1710218623 |
|---|---|
| Former Name | KELLEY RICHEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 9266479) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 777441) |
| 163W00000X Registered Nurse (Licence: TX 777441) | |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2018-06-04 |