Individual
KELLY MCNEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12222 MERIT DR STE 600, DALLAS, TX 75251-3294
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(972) 233-1999
(972) 233-3666
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
684197
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP115513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15164672
TEXAS DRIVERS LICENSE
TX
05
—
184792301
—
TX
05
—
184792302
—
TX
05
—
184792303
—
TX
01
—
684197
TSBNE
TX
01
—
87093U
BCBS
TX
01
—
8870UG
BCBS TX
TX
01
—
P00428339
RAILROAD MEDICARE
TX
Enumeration date
10/27/2006
Last updated
07/19/2022
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