| NPI | 1942491139 |
|---|---|
| Former Name | KELLY LYNNE SCOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX N9678) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP1-0026611) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2019-09-24 |