Individual
KELLY MARIE LYONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 6TH STREET SOUTH, ST. PETERSBURG, FL 33701
(727) 553-7906
(727) 828-0723
Mailing address
1613 N. HARRISON PARKWAY, SUITE 200, MAILSTOP SH-9A, SUNRISE, FL 33323-2896
(954) 838-2371
(954) 851-1746
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9309313
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003379400
—
FL
01
—
G00NE
BCBS ATTACHED TO GRP# 77329
FL
Enumeration date
12/21/2010
Last updated
02/03/2025
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