Individual
MRS. KELLI MARCHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1118 ROSS CLARK CIR, SUITE 700, DOTHAN, AL 36301-3001
(334) 793-5105
(334) 671-5073
Mailing address
1118 ROSS CLARK CIR, SUITE 700, DOTHAN, AL 36301-3001
(334) 793-5105
(334) 671-5073
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-100416
AL
367500000X
Certified Registered Nurse Anesthetist
ANT9229432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-10046
AL LICENSE
AL
01
—
ANT9229432
LICENSE
FL
01
—
G4452
BCBS
FL
Enumeration date
02/20/2008
Last updated
12/22/2010
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