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Individual

KELLEY RHENE GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
7500 TIMBERLAKE, METHODIST HOSPITAL, SACRAMENTO, CA 95823
(916) 423-3000
Mailing address
PO BOX 966, SUTTER CREEK OB ANESTHESIA, SUTTER CREEK, CA 95685
(888) 270-0340
(888) 270-0340

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
NA242
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN244086
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NA242
CA
05
RN244086
CA
Enumeration date
05/15/2006
Last updated
07/08/2007
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