NPI | 1750777249 |
---|---|
Professional Name | KELSEY DIAMOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0005282) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10001788A) |
Enumeration Date | 2015-04-10 |
Last Update Date | 2018-06-14 |