| NPI | 1962887109 |
|---|---|
| Former Name | KELCI BROOKE BURNS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-76507-042) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2014035979) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |