| NPI | 1982139085 |
|---|---|
| Former Name | KATHLEEN AMBER KEARNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: KY 05130) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: KY 05130) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2022-04-13 |