Individual
KELLY JOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL CENTER BLVD, CHESTER, PA 19013-3902
(610) 447-2000
Mailing address
82 IDORA AVE, SAN FRANCISCO, CA 94127-1045
(619) 820-6336
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3934
CA
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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