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Individual

MS. KELLY J SCHERBENSKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5530 WISCONSIN AVE, SUITE 1620, CHEVY CHASE, MD 20815-4404
(301) 718-9800
(301) 986-1672
Mailing address
PO BOX 790058, SAINT LOUIS, MO 63179-0058
(636) 549-2380
(314) 569-5974

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024098517
VA
367500000X
Certified Registered Nurse Anesthetist
100796
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
AC000288
MD
367500000X
Certified Registered Nurse Anesthetist
AP04119
LA
367500000X
Certified Registered Nurse Anesthetist
ARNP9195291
FL
367500000X
Certified Registered Nurse Anesthetist
RN541659
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
048497
RECERT NURSE ANESTHETISTS
05
4191072 00
MD
01
G853-0002
NCA CAREFIRST PROVIDER #
DC
01
KBC1CH
CAREFIRST BCBS
MD
01
P00697535
MEDICARE RAILROAD (GRP PTAN DD6120)
MD
01
S417 0036
CAREFIRST BCBS
DC
Enumeration date
06/18/2006
Last updated
10/21/2011
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