| NPI | 1902186273 |
|---|---|
| Former Name | KELLY R HANCOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN APN16079) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN169779) |
| 163W00000X Registered Nurse (Licence: AL 1-105660) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: AL 1-105660) | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2016-03-21 |