Individual
KELLY ALISA ZIPKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4101 EVANS AVE, FORT MYERS, FL 33901-9310
(239) 939-3456
(239) 790-2432
Mailing address
PO BOX 162264, ALTAMONTE SPRINGS, FL 32716-2264
(941) 792-2020
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9298353
FL
Other
Enumeration date
06/26/2015
Last updated
01/23/2025
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