Kellee J Smith, CRNA | |
311 S Clark St, Carroll, IA 51401-3038 | |
(712) 792-3581 | |
(712) 792-2124 |
Full Name | Kellee J Smith |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 311 S Clark St, Carroll, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821077140 | NPI | - | NPPES |
0472183 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 111826 (Iowa) | Primary |
Entity Name | St Anthony Regional Hospital And Nursing Home |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891711925 PECOS PAC ID: 4688586829 Enrollment ID: O20031105000218 |
Mailing Address | Practice Location Address |
---|---|
Kellee J Smith, CRNA 311 S Clark St, Carroll, IA 51401-3038 Ph: (712) 792-3581 | Kellee J Smith, CRNA 311 S Clark St, Carroll, IA 51401-3038 Ph: (712) 792-3581 |
Zak Jared Hinzmann, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 311 S Clark St, Carroll, IA 51401 Phone: 712-792-3581 | |
Kevin F Bohac, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 311 S Clark Street, Carroll, IA 51401 Phone: 712-792-3581 Fax: 712-792-2124 | |
David C Pederson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 311 S Clark St, Carroll, IA 51401 Phone: 712-792-3581 Fax: 712-792-2124 | |
Matthew Earl, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 311 S Clark St, Carroll, IA 51401 Phone: 712-792-3581 | |
John Lee Knorr, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 311 S Clark St, Carroll, IA 51401 Phone: 712-792-3581 Fax: 712-792-2124 | |
Drue Chandler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 311 S Clark St, Carroll, IA 51401 Phone: 712-792-3581 |