Individual
KELLY ANN HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 6TH ST S, ST PETERSBURG, FL 33701-4814
(727) 823-2188
(727) 828-0723
Mailing address
PO BOX 22005, ST PETERSBURG, FL 33742-2005
(727) 823-2188
(727) 828-0723
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP 9267227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G00WU
BCBS ATTACHED TO GRP# 77329
FL
Enumeration date
02/07/2012
Last updated
01/03/2018
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