| NPI | 1821072380 |
|---|---|
| Former Name | KELLY ANN VOLMERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX PA00311) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TX 1016844) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2019-11-12 |