Individual
KELLY MICHELLE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
632 N 12TH ST # 230, MURRAY, KY 42071-1651
(270) 627-0150
Mailing address
632 N 12TH ST # 230, MURRAY, KY 42071-1651
(270) 627-0150
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3006605
KY
Other
Enumeration date
08/27/2010
Last updated
07/25/2016
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