NPI | 1730375601 |
---|---|
Former Name | MICHELLE K. HINKLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 15-01184) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: FL PA9105990) |
363A00000X Physician Assistant (Licence: KS T-01568) | |
Enumeration Date | 2007-09-24 |
Last Update Date | 2020-08-19 |