Individual
JAMES J KELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2633
(319) 356-2940
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2633
(319) 356-2940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
D078551
IA
367500000X
Certified Registered Nurse Anesthetist
R030050
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005855
BLUE CROSS OF SD
SD
05
—
0573923
—
IA
05
—
460224743-48
—
NE
05
—
5753680
—
SD
05
—
5753682
—
SD
01
—
753S5KE
MN BLUE CROSS BS
MN
05
—
796114600
—
MN
01
—
9219547
DAKOTACARE
SD
Enumeration date
07/03/2006
Last updated
04/21/2025
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