NPI | 1871911693 |
---|---|
Professional Name | KELLY SCRIVEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: MD D87065) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NY 303822) |
Enumeration Date | 2014-03-29 |
Last Update Date | 2021-08-24 |