Individual
DEBRA A KELLY
Active
Individual
DEBRA A KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R163023
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09PX
CAREFIRST BLUE SHIELD
MD
05
—
403763400
—
MD
Enumeration date
07/11/2006
Last updated
10/19/2010
Update your record
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