| NPI | 1992404636 |
|---|---|
| Former Name | KELLY HODGSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A173617) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM 73124) |
| 363LF0000X Nurse Practitioner, Family (Licence: DC NP500015362) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 51998) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024186645) | |
| 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11032496) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209027322) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO C-RXN.0101519-C-NP) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MD AC006813) | |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2024-11-14 |