| NPI | 1821299223 |
|---|---|
| Former Name | KRISTIN KELLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: WA PA60454784) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical (Licence: WA PA60454784) | |
| 363AS0400X Physician Assistant, Surgical (Licence: WA PA60454784) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-08-19 |