Individual
KELLI J GROENEWEG
Active
Individual
KELLI J GROENEWEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2025027565
MO
367500000X
Certified Registered Nurse Anesthetist
D093491
IA
367500000X
Certified Registered Nurse Anesthetist
R027631
SD
367500000X
Certified Registered Nurse Anesthetist
Primary
SRA-25007
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5751950
—
SD
05
—
59077832
—
CO
Enumeration date
08/30/2006
Last updated
09/08/2025
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