NPI | 1790397834 |
---|---|
Professional Name | GLORIA KELLY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 172V00000X Community Health Worker |
Additional Taxonomies | 251S00000X |
171M00000X Case Manager/Care Coordinator | |
174200000X Meals | |
261QC1500X Clinic/Center, Community Health | |
261QP0905X Clinic/Center, Public Health, State or Local | |
305S00000X Point of Service | |
Enumeration Date | 2020-08-19 |
Last Update Date | 2020-09-25 |