Individual
MRS. KEELY MARIE DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3100 E FLETCHER AVE, TAMPA, FL 33613-4613
(813) 971-6000
Mailing address
2729 VIA MURANO UNIT 420, CLEARWATER, FL 33764-3977
(612) 986-4713
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
11001703
FL
Other
Enumeration date
02/06/2019
Last updated
03/29/2019
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