Individual
KELLY A HEINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 RIDGE ST, SUITE 102, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5565
(712) 322-5566
Mailing address
PO BOX 1988, COUNCIL BLUFFS, IA 51502-1988
(712) 322-5565
(712) 322-5566
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
62406
NE
Other
Enumeration date
05/12/2010
Last updated
05/21/2015
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