Individual
KELLY SUTHER EUBANKS
Active
Individual
KELLY SUTHER EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9183840
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9183840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007430-00
—
FL
05
—
468126999A
—
GA
05
—
468126999F
—
GA
Enumeration date
12/11/2008
Last updated
06/19/2015
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