Individual
KARLA JEAN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(816) 234-3285
Mailing address
6735 W 108TH TER, SHAWNEE MISSION, KS 66211-1116
(913) 385-7740
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
055310
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
916780810
—
MO
Enumeration date
05/04/2006
Last updated
07/08/2007
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