Individual
MS. KELLY COLLEEN HERMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4932 SW BIMINI CIR N, PALM CITY, FL 34990-1232
(810) 434-2909
Mailing address
4932 SW BIMINI CIR N, PALM CITY, FL 34990-1232
(810) 434-2909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704265066
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
11015969
FL
367500000X
Certified Registered Nurse Anesthetist
4704265066
MI
Other
Enumeration date
08/18/2010
Last updated
04/13/2022
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