| NPI | 1992756860 |
|---|---|
| Former Name | SHANNON K KELLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036116996) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD601430689) |
| 208M00000X Hospitalist (Licence: WA MD60143689) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-12-13 |