| NPI | 1780241596 |
|---|---|
| Former Name | KELLIE ANN BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 11923) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309101) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 309101) | |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2026-01-20 |