Individual
KELLY J MCCOLLEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 882-2568
(573) 882-2226
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2568
(573) 882-2226
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041336818
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
2011028679
MO
367500000X
Certified Registered Nurse Anesthetist
APRN11015291
FL
Other
Enumeration date
02/04/2009
Last updated
11/06/2024
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