Individual
MS. KELLEY E HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA MBA MS
Contact information
Practice address
3193 HOWELL MILL RD NW STE 315, ATLANTA, GA 30327-2100
(888) 408-0200
Mailing address
575 PROFESSIONAL DR STE 165, LAWRENCEVILLE, GA 30046-3300
(770) 277-3056
(855) 204-5244
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP1183292
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304586200
—
FL
Enumeration date
03/08/2006
Last updated
03/14/2018
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