Individual
KELLY CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 792-1450
Mailing address
4237 E KILMER ST, TUCSON, AZ 85711-2825
(520) 539-8905
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN176261
AZ
207L00000X
Anesthesiology Physician
261429
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
261429
AZ
Other
Enumeration date
03/26/2015
Last updated
02/13/2026
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