Organization
PATRICK D. KELSALL CRNA PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK KELSALL CRNA (OWNER)
(800) 444-6110
Entity
Organization
Contact information
Practice address
3319 SPRING ST STE SUITE202, DAVENPORT, IA 52807-2125
(563) 355-6236
Mailing address
PO BOX 689, LAKE FOREST, IL 60045-0689
(800) 444-6110
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/21/2020
Last updated
10/01/2020
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