Individual
KELLY ANSCHUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 N SANDUSKY AVE, BUCYRUS, OH 44820-1821
(419) 563-9391
(419) 563-9356
Mailing address
700 N COLUMBUS ST, CRESTLINE, OH 44827-1455
(419) 462-3328
(419) 462-4582
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.17357-NA
OH
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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