Individual
CASSANDRA ANNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 SYCAMORE ST APT 343, TERRE HAUTE, IN 47807-2622
(812) 841-2633
Mailing address
1 SYCAMORE ST # 343, TERRE HAUTE, IN 47807-2622
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123534
AZ
Other
Enumeration date
09/10/2018
Last updated
12/06/2018
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