Individual
KATHRYN MARIE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2411 FOUNTAIN VIEW DR, STE 200, HOUSTON, TX 77057-4817
(972) 715-5000
(972) 715-9976
Mailing address
PO BOX 650865, DALLAS, TX 75265-0865
(972) 715-5000
(972) 715-9976
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
AP127359
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
10/03/2014
Last updated
01/30/2015
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