Individual
MARYELLE HERNDON KIELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2100 ERWIN RD, DURHAM, NC 27705-3941
(919) 620-4917
(919) 620-4921
Mailing address
5213 S ALSTON AVE, DURHAM, NC 27713-4430
(919) 620-4855
(919) 620-4921
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
233422
NC
Other
Enumeration date
11/14/2011
Last updated
08/09/2021
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