KELLY JEAN MIS

HAMMOND, IN
NPI1396089157
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: IN  28151162A)
Enumeration Date2012-11-19
Last Update Date2015-08-14
Business Address
MS. KELLY JEAN MIS CRNA
5454 HOHMAN AVE
HAMMOND, IN 46320-1931
Phone number: 219-932-2300
Mailing Address
MS. KELLY JEAN MIS CRNA
1726 SHERIDAN AVE
WHITING, IN 46394-1729
Phone number: 219-218-6730
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