| NPI | 1952601759 |
|---|---|
| Former Name | KELLY L TAUBENECK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 3106) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CO 915688) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2024-05-29 |