Individual
KELLY RENEE ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 W MEETING ST, LANCASTER, SC 29720-2202
(803) 286-1214
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3321
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
6734
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.31441
SC
367500000X
Certified Registered Nurse Anesthetist
COA.13079-NA
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0064264
—
OH
Enumeration date
01/25/2012
Last updated
01/23/2026
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