Individual
KELCIE BRUNNERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, DNAP
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-8899
(573) 341-5611
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-8899
(573) 341-5611
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2023031636
MO
Other
Enumeration date
09/05/2023
Last updated
09/29/2023
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