| NPI | 1851513436 |
|---|---|
| Former Name | CALLEY A. KENNEDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MN 51175) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125050402) |
| 208000000X Pediatrics (Licence: WI 52074-020) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2009-07-02 |