| NPI | 1851855241 |
|---|---|
| Former Name | KELSEY REA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: VA 0110006547) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| Enumeration Date | 2019-01-30 |
| Last Update Date | 2024-03-05 |