| NPI | 1760461875 |
|---|---|
| Former Name | KELLY JEAN MORGAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA MD.14004R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 14004R) |
| 207R00000X Internal Medicine (Licence: WA MD60821843) | |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2023-10-23 |