Individual
ALYSSE BRIANNE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 473-3561
Mailing address
20 HOLLY RIDGE RD, WASHINGTON, PA 15301-6206
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN.CRNA.0020500
OH
367500000X
Certified Registered Nurse Anesthetist
RN643233
PA
Other
Enumeration date
01/13/2018
Last updated
04/11/2023
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