Individual
KELLY LANELL BERNARD IGWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 HOSPITAL PKWY, BEDFORD, TX 76022-6913
(817) 840-4000
Mailing address
117 ST MEENA CT APT SUITE, FORT WORTH, TX 76120-1804
(817) 829-1203
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
804338
TX
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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