Individual
LISA M GONDEK KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7 INDEPENDENCE PT STE 300, GREENVILLE, SC 29615-4569
(864) 522-3700
(864) 522-3705
Mailing address
300 E MCBEE AVE, FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
525
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1152
MEDICARE - GROUP
SC
01
—
400097
MEDICAID - GROUP
SC
05
—
AN0929
—
SC
05
—
GP2991
—
SC
Enumeration date
11/29/2005
Last updated
01/20/2022
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