Individual
KELLY CHRISTINE GIGNAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1220 E VENICE AVE, VENICE, FL 34285-7151
(941) 484-5000
Mailing address
1220 E VENICE AVE, VENICE, FL 34285-7151
(941) 442-5000
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9297235
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430073628
RAILROAD-MEDICARE
NC
05
—
8051589
—
NC
05
—
AN1722
—
SC
Enumeration date
01/31/2007
Last updated
03/04/2022
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