Individual
KELLY SIDLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1111 E MCDOWELL RD, PHOENIX, AZ 85006-2612
(602) 839-2000
Mailing address
4905 E VILLA RITA DR, SCOTTSDALE, AZ 85254-7560
(785) 221-7030
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
124209
KS
367500000X
Certified Registered Nurse Anesthetist
2022005143
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
298892
AZ
367500000X
Certified Registered Nurse Anesthetist
557753
KS
Other
Enumeration date
12/20/2019
Last updated
10/31/2023
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