KELLY SHIVEL RUDD

JACKSONVILLE, FL
NPI1467898395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  9180092)
Enumeration Date2013-05-19
Last Update Date2013-05-19
Business Address
-- KELLY SHIVEL RUDD CRNA
1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204-4748
Phone number: 904-308-7300
Mailing Address
-- KELLY SHIVEL RUDD CRNA
2165 HERSCHEL ST
JACKSONVILLE, FL 32204-3819
Phone number: 904-387-4030