| NPI | 1801208525 |
|---|---|
| Former Name | KELLEY JEAN KIMLINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 683504) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: CA 72067) |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2014-05-29 |