Mr Thomas Patrick Kelly, CRNA | |
2301 Eastern Ave, Red Oak, IA 51566-0498 | |
(712) 623-7000 | |
(712) 623-7224 |
Full Name | Mr Thomas Patrick Kelly |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 2301 Eastern Ave, Red Oak, Iowa |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821084609 | NPI | - | NPPES |
0455543 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | D058063 (Iowa) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Thomas Patrick Kelly, CRNA Po Box 498, Red Oak, IA 51566-0498 Ph: (712) 623-7000 | Mr Thomas Patrick Kelly, CRNA 2301 Eastern Ave, Red Oak, IA 51566-0498 Ph: (712) 623-7000 |
Mr. Donald R Sabo, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 Eastern Ave, Red Oak, IA 51566 Phone: 712-623-7000 Fax: 712-623-7224 | |
Adrienne A Rochleau, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1400 Senate Ave, Red Oak, IA 51566 Phone: 712-623-7000 |