| NPI | 1902979628 |
|---|---|
| Other Name | KELLY BLAIR CREASY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27548) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00010345) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2018-05-08 |