| NPI | 1720273667 |
|---|---|
| Former Name | KELSEY ANGELINE YORKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: AK 110754) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AK 110754) |
| 207Q00000X Family Medicine (Licence: ID MRM-1323) | |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2024-08-12 |