Individual
KELLY MARIE GRANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 N FLAGLER DR, WEST PALM BEACH, FL 33401-3406
(561) 655-5511
Mailing address
953 LAUREL RD, NORTH PALM BEACH, FL 33408-4020
(561) 315-6644
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
144409
FL
Other
Enumeration date
04/12/2021
Last updated
06/13/2023
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