Individual
MR. JOHN R KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
103 HELTON CT, FLORENCE, AL 35630-1464
(256) 760-0672
Mailing address
PO BOX 235022, MONTGOMERY, AL 36123-5022
(334) 396-6930
(334) 396-6929
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-096865
AL
367500000X
Certified Registered Nurse Anesthetist
2025018932
MO
Other
Enumeration date
01/28/2009
Last updated
06/06/2025
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