| NPI | 1831552546 |
|---|---|
| Former Name | KELSEY KERMODE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: CT 63924) |
| Additional Taxonomies | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: CT 63924) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2023-02-13 |