Kelly N. Carroll, CRNA
NPI #1063815645 in Loves Park, Illinois
Provider Information
- NPI Number
- 1063815645
- Entity Type
- Individual
- Name
- Kelly N. Carroll, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- Sep 26, 2014
- Last Updated
- Mar 28, 2017
Practice Location
- Address
- 2202 HARLEM RD
- City
- Loves Park
- State
- Illinois
- ZIP Code
- 61111-2754
- Phone
- (815) 877-4848
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Anesthetist, Certified Registered |
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