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 |