Individual
CYNTHIA A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(800) 437-2672
Mailing address
100 E CARROLL ST, SALISBURY, MD 21801-5422
(800) 437-2672
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2837692
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430067411
RAILROAD MEDICARE
FL
01
—
G1866
BLUE SHIELD OF FL
FL
Enumeration date
09/06/2006
Last updated
08/18/2016
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