Individual
MS. KELLY GILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1338 PHAY AVE, CANON CITY, CO 81212-2302
(719) 285-2861
(719) 285-2101
Mailing address
1338 PHAY AVE, CANON CITY, CO 81212-2302
(719) 285-2861
(719) 285-2101
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0992635
CO
367500000X
Certified Registered Nurse Anesthetist
RN-166869
CO
Other
Enumeration date
01/19/2012
Last updated
10/25/2016
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