Individual
STEPHEN MICHAEL KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2021 PERDIDO ST, NEW ORLEANS, LA 70112-1352
(504) 903-3370
Mailing address
2021 PERDIDO ST, NEW ORLEANS, LA 70112-1352
(504) 903-3370
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP06179
LA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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