Kelly Carie CRNA

NPI 1083673057 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1083673057
Gender Female
Enumeration Date 03/20/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 12 years ago
Practice Location
400 FSC - PCS
TROY MI, 48085-1198, US
Phone (248) 423-3144
Business Location
3601 W 13 MILE RD
400 FSC - PCS
ROYAL OAK MI, 48073-6769, US
Phone (248) 423-3144
Taxonomy Code 367500000X
License State Michigan
License Number 4704147353
Remove 1083673057 NPI Number

According to our database, Kelly Carie CRNA NPI is 1083673057, taxonomy code is 367500000X and license number is 4704147353, license state is located at Michigan. Kelly Carie CRNA physically located at 44201 Dequindre, Troy MI, 48085-1198. NPI Number Kelly Carie CRNA has the Individual type.

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1083673057 NPI number is provided on an as is basis without warranty of any kind. 1083673057 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Carie CRNA are for informational purposes only.