MS. Kelly A Wallace CRNA

  • 1669464350 NPI Number
  • |
  • Actived: 14 years ago
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According to our database, NPI number for MS. Kelly A Wallace CRNA is 1669464350 and actived since Thursday, August 18 2005. MS. Kelly A Wallace CRNA is an individual provider specializes in Nurse Anesthetist, Certified Registered, 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: 1043854003
  • Provider type: Individual
  • Specialty: Nurse Anesthetist, Certified Registered
  • 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

What is the npi number?

  • 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.