Individual
KELLY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(610) 954-5810
(610) 954-5480
Mailing address
PO BOX 5520, BETHLEHEM, PA 18015-0520
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN676026
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136007
NBCRNA
PA
Enumeration date
01/25/2021
Last updated
06/28/2024
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