Individual
KELLY D LOMAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
1850 N CENTRAL AVE, STE 1600, PHOENIX, AZ 85004-4633
(615) 327-4304
(615) 327-7940
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1367
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009939325
—
AL
01
—
4072322
BCBS NUMBER
TN
05
—
74008087
—
KY
Enumeration date
08/02/2005
Last updated
07/21/2022
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