Individual
SHAWN ROBERT KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CRNA
Contact information
Practice address
5301 E GRANT RD, TUCSON, AZ 85712-2805
(520) 327-5461
Mailing address
3745 N KNOLLWOOD CIR, TUCSON, AZ 85750-2329
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9606452
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
334477
AZ
Other
Enumeration date
11/17/2025
Last updated
02/19/2026
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