NPI | 1992877708 |
---|---|
Former Name | KELLY LOUISE REED-ZECHERLE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME149520) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00032070) |
207R00000X Internal Medicine (Licence: IN 01073158A) | |
207R00000X Internal Medicine (Licence: CA A65127) | |
207R00000X Internal Medicine (Licence: RI MD09235) | |
207R00000X Internal Medicine (Licence: OR MD184261) | |
Enumeration Date | 2006-11-15 |
Last Update Date | 2021-08-03 |