Individual
KELLY MERRILL SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1600 SW ARCHER RD, BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610
Mailing address
1600 SW ARCHER RD, BOX 100254, GAINESVILLE, FL 32610-0254
(352) 273-8610
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN9451513
FL
367500000X
Certified Registered Nurse Anesthetist
ARNP9451513
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019871000
—
FL
Enumeration date
01/23/2017
Last updated
12/18/2020
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