Individual
KELLY JEAN CLUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-1111
Mailing address
963 POINSETTIA DR, CHULUOTA, FL 32766-9336
(407) 451-4531
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN9369545
FL
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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