NPI | 1952550667 |
---|---|
Former Name | KELLY M RIGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 01067324A) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125-050359) |
208000000X Pediatrics (Licence: IN 01067324A) | |
208000000X Pediatrics (Licence: IL 125-050359) | |
Enumeration Date | 2008-09-17 |
Last Update Date | 2021-03-04 |