Individual
DR. KELLEY TENNANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNAP, CRNA
Contact information
Practice address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
(602) 262-8890
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
233829
AZ
Other
Enumeration date
08/27/2019
Last updated
03/25/2023
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