| NPI | 1720104102 |
|---|---|
| Former Name | KELLY WRISTEN WEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN150994) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2025-08-04 |