| NPI | 1760642953 |
|---|---|
| Former Name | KELLY LYNN KENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: VA 0101251167) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101251167) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2016-10-05 |