Individual
SARAH E KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
929 N SAINT FRANCIS ST, WICHITA, KS 67214-3821
(800) 374-5326
(800) 374-7656
Mailing address
PO BOX 356, WICHITA, KS 67201-0356
(800) 374-5326
(800) 374-7656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1390787012
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55670
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200577050A
—
KS
01
—
P00727374
RR MEDICARE GROUP # CQ2302
KS
Enumeration date
07/08/2008
Last updated
08/20/2009
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