NPI | 1982063624 |
---|---|
Other Name | KACI HARKEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085006714) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: MO 2016004102) |
Enumeration Date | 2016-02-22 |
Last Update Date | 2023-01-26 |