KELLY S MARX

PORTLAND, ME
NPI1598814568
Former NameKELLY S BURNS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  RNA103011)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: IL  209-006356)
Enumeration Date2007-01-09
Last Update Date2013-10-17
Business Address
-- KELLY S MARX CRNA
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-4562
Mailing Address
-- KELLY S MARX CRNA
301C US ROUTE 1
SCARBOROUGH, ME 04074-9701
Phone number: 207-396-8600