| NPI | 1861937096 |
|---|---|
| Former Name | KELSEY L BALK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0006238) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: IA 085218) |
| Enumeration Date | 2016-12-25 |
| Last Update Date | 2020-08-14 |