| NPI | 1770872475 |
|---|---|
| Former Name | KELLEN C KOLINSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 60325) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 60325) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2019-08-28 |