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Individual

KELLEE FITZGERALD

Active
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Individual

KELLEE FITZGERALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.0128839
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.0100009
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0128839
RN
Enumeration date
02/26/2008
Last updated
01/09/2018
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