Individual
MS. KELLY BROOKE WELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1425 S MAIN ST, WALNUT CREEK, CA 94596-5318
(919) 971-5568
Mailing address
543 PIMLICO CT, WALNUT CREEK, CA 94597-3677
(919) 971-5568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
784814
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
4023
CA
Other
Enumeration date
06/29/2011
Last updated
02/11/2022
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