| NPI | 1831440189 |
|---|---|
| Other Name | KESHIA NICOLE AVANT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110004003) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: VA 0110004003) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2024-01-12 |