Individual
TARA KELLY
Active
Individual
TARA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
10042220
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
APN17592
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA-01287
NM
Other
Enumeration date
05/13/2013
Last updated
07/01/2026
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