Kelsey A Wallace, CRNA
NPI #1013576990 in Springfield, Illinois
Provider Information
- NPI Number
- 1013576990
- Entity Type
- Individual
- Name
- Kelsey A Wallace, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Jun 13, 2019
- Last Updated
- Jun 17, 2019
Practice Location
- Address
- 701 N 1ST ST
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62781-0001
- Phone
- (217) 788-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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