Individual
KELSEY J RUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Mailing address
92 W MILLER ST, ORLANDO, FL 32806-2032
(321) 841-4607
(321) 841-4603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3402022
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000961100
—
FL
01
—
ARNP3402022
MEDICAL LICENSE
FL
Enumeration date
05/28/2009
Last updated
05/21/2021
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