| NPI | 1942488499 |
|---|---|
| Former Name | KELLIE A POWER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA59987) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MD C0003543) |
| 363AM0700X Physician Assistant, Medical (Licence: TX pa08877) | |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2023-03-22 |