| NPI | 1912186982 |
|---|---|
| Former Name | KELLY L KONDRATH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 526948-1) |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2008-03-11 |