Individual
KATHLEEN ELLEN HARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(352) 795-6560
Mailing address
715 OAK ST, INVERNESS, FL 34452-6500
(352) 637-0208
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP3234622
FL
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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