Individual
MRS. KELLI H PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 N ELM ST, GREENSBORO, NC 27401-1004
(336) 832-7000
Mailing address
2736 HORSE PEN CREEK RD, GREENSBORO, NC 27410-9403
(336) 549-5661
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
124094
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
124094
CRNA
NC
Enumeration date
08/23/2018
Last updated
08/23/2018
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