Individual
KELLY A ELMHORST
Active
Individual
KELLY A ELMHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, DNAP
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024168253
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54185-5514
ATLANTIC ANESTHESIA TAX IDN
VA
Enumeration date
03/20/2009
Last updated
08/26/2010
Update your record
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