Levi A Kelly CRNA

NPI 1194044776 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1194044776
Gender Male
Enumeration Date 05/21/2010
Last Updated 05/21/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
315 S OSTEOPATHY AVE
KIRKSVILLE MO, 63501-6401, US
Phone (660) 785-1098
Fax (660) 665-0333
Business Location
1007 KINGS RD
KIRKSVILLE MO, 63501-2627, US
Phone
Fax
Toxanomy
Taxonomy Code 367500000X
License State Missouri
License Number 2005008072
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According to our database, Mr. Levi A Kelly CRNA NPI is 1194044776, taxonomy code is 367500000X and license number is 2005008072, license state is located at Missouri. Levi A Kelly CRNA physically located at 315 S Osteopathy Ave, Kirksville MO, 63501-6401. NPI Number Levi A Kelly CRNA has the Individual type.

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1194044776 NPI number is provided on an as is basis without warranty of any kind. 1194044776 is maintained by the National Plan & Provider Enumeration System. The contents of Levi A Kelly CRNA are for informational purposes only.