Individual
KELSEY MYRACLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
301 TYSON AVE, PARIS, TN 38242-4544
(731) 642-1220
Mailing address
301 TYSON AVE, PARIS, TN 38242-4544
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
159752
TN
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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