THERESA K KELLY — Medicare Enrolled Provider (PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA), PA)
THERESA K KELLY — Medicare Enrolled Provider (PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA), PA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: THERESA K KELLY; Type: Individual; NPI: 1003087776.
| Name | THERESA K KELLY |
|---|---|
| Type | Individual |
| NPI | 1003087776 |
| Provider type | PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| State | PA |
| Enrollment ID | I20050307000370 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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