| NPI | 1841534336 |
|---|---|
| Former Name | KELLY K HIGGINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.004693rx) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA002943) |
| 363A00000X Physician Assistant (Licence: PA MA005820) | |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2021-02-09 |