NPI | 1982973327 |
---|---|
Former Name | KRISTEENA ABNEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1681) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: KY PA1681) |
363AM0700X Physician Assistant, Medical | |
363AS0400X Physician Assistant, Surgical (Licence: KY PA1681) | |
363AS0400X Physician Assistant, Surgical | |
Enumeration Date | 2011-12-14 |
Last Update Date | 2021-05-04 |