Individual
KELSEY CARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 HILLCREST MEDICAL BLVD, WACO, TX 76712-8897
(254) 202-5800
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP134693
TX
390200000X
Student in an Organized Health Care Education/Training Program
R097890
AR
Other
Enumeration date
03/30/2017
Last updated
10/07/2020
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