MS. Kelly A Wallace CRNA

  • NPI 1669464350
According to our database, the NPI number for MS. Kelly A Wallace CRNA is 1669464350 and activated since 15 years ago. MS. Kelly A Wallace CRNA is an individual provider who specializes in Nurse Anesthetist, Certified Registered, and the primary practice location is 615 S New Ballas Rd, Saint Louis, MO 63141. You can also contact MS. Kelly A Wallace CRNA via telephone number is (636) 386-9224. Provider NPI information was last updated on 06/29/2010.

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Overview of MS. Kelly A Wallace CRNA

  • NPI number: 1063012649
  • Provider type: Individual
  • Gender: Female
  • Active since: 08/18/2005
  • Last updated: 06/29/2010

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 121517
  • License State: MO

Provider Mailing Address

  • Address: 339 Consort Dr
    Ballwin, MO 63011
  • Phone: 636-386-9224
  • Fax: 636-386-7679

Provider Practice Location

  • Address: 615 S New Ballas Rd
    Sjmmc Dept Of Anes
    Saint Louis, MO 63141
  • Phone: 636-386-9224
  • Fax: 636-386-7679

Scope of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 121517
  • License State: MO
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 916940117
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MO
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MS. Kelly A Wallace CRNA?
  • A: The npi number for MS. Kelly A Wallace CRNA is 1669464350.
  • Q: What are MS. Kelly A Wallace CRNA's specialties?
  • A: MS. Kelly A Wallace CRNA's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for MS. Kelly A Wallace CRNA?
  • A: The medical license number for MS. Kelly A Wallace CRNA is 121517 and issued in MO in USA.
  • Q: Where is MS. Kelly A Wallace CRNA practice location?
  • A: MS. Kelly A Wallace CRNA is practicing at 615 S New Ballas Rd, Saint Louis, MO 63141.
  • Q: How to contact MS. Kelly A Wallace CRNA?
  • A: You can contact MS. Kelly A Wallace CRNA via 636-386-9224.