Individual
KELLIE MICHELLE KNOERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7201
(214) 648-6400
(214) 648-5461
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(469) 291-3369
(214) 645-0078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
126608
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
AP144611
TX
390200000X
Student in an Organized Health Care Education/Training Program
RN9437335
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP144611
TX BON
TX
Enumeration date
11/01/2019
Last updated
03/24/2020
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