Individual
KELLY B. CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 282-9054
Mailing address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 282-9054
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN-564
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
54969401
—
HI
Enumeration date
10/19/2006
Last updated
01/11/2022
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