Individual
KELLY ANN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
810 W HIGHWAY 71, MARBLE FALLS, TX 78654-8602
(830) 201-8000
(830) 201-8008
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(800) 994-0371
(254) 215-9722
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
46429
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033581-09
—
TX
05
—
3358101
—
TX
01
—
8059UU
BLUE CROSS
TX
01
—
88678C
BC/BS
TX
Enumeration date
11/21/2005
Last updated
10/13/2025
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