Individual
MARGUERITE ELIZABETH KELLY-SALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
14616 W 50TH ST, SHAWNEE, KS 66216-5107
(913) 268-0284
Mailing address
14616 W 50TH ST, SHAWNEE, KS 66216-5107
(913) 268-0284
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1484333061
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
556879
KS
Other
Enumeration date
03/10/2009
Last updated
06/11/2009
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