TRACY KELLY

MERIDIAN, MS
NPI1942438809
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R762544)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: AL  1-154362)
Enumeration Date2009-06-30
Last Update Date2021-11-18
Business Address
TRACY KELLY CRNA
1001 14TH ST
MERIDIAN, MS 39301-4458
Phone number: 601-482-9224
Mailing Address
TRACY KELLY CRNA
PO BOX 1413
MERIDIAN, MS 39302-1413
Phone number: 601-485-6325