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Individual

KELLY ANN MCGRAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2411 FOUNTAIN VIEW DR, STE, 200, HOUSTON, TX 77057-4817
(713) 620-4000
Mailing address
2411 FOUNTAIN VIEW DR, STE, 200, HOUSTON, TX 77057-4817
(713) 620-4000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
583571
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002471304
TX
05
002471305
TX
Enumeration date
08/16/2006
Last updated
11/05/2013
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