| NPI | 1871391433 |
|---|---|
| Former Name | KELLY PAYTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OH APRN.CNP.0039877) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: OH RN.361455) |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-07-28 |