| NPI | 1992338446 |
|---|---|
| Former Name | ASHLEY KENNEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 14044) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WI 5089) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2024-02-28 |