Individual
KELLY JOHNSON KRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2005-0329
NM
208600000X
Surgery Physician
26792
NE
208600000X
Surgery Physician
7942743-1205
UT
208C00000X
Colon & Rectal Surgery Physician
Primary
26792
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025389300
—
NE
01
—
P01170228
PALMETTO GBA
NE
Enumeration date
02/06/2007
Last updated
03/15/2021
Update your record
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