| NPI | 1962798207 |
|---|---|
| Former Name | KAYRON ALIECE KELLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0437559) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MO 2011017845) |
| 208000000X Pediatrics (Licence: MO 2013030300) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2016-01-20 |